Home Bratislava Medical Journal 2015 Bratislava Medical Journal Vol.116, No.12, p.719–721, 2015

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

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Bratislava Medical Journal Vol.116, No.12, p.719–721, 2015

Title: Application of negative pressure wound therapy in scalp reconstruction
Author: M. Bohac, K. Mikusz, J. Fedeles Sr.

Abstract: Scalp defects in old polymorbid patients are still therapeutic challenge for reconstructive surgeons. We present the case of a male who underwent an excessive tumour resection with the unsuccessful skin graft coverage. The patient developed a progressive skin graft necrosis and infection with an exposure of calvarial bone. Initial surgical debridement and topical treatment resulted in an excessive bone exposure. We decided to use a negative pressure therapy after multiple bone trephinations, to improve growth of new vital tissue in bone-exposed area. This maneuverer, followed by a split thickness skin graft coverage, allowed a progressive defect healing. In such old polymorbid patient, calvarial bone trephinations with a negative pressure therapy could be considered to achieve effective and considerable results (Fig. 4, Ref. 16).

Keywords: scalp reconstruction, negative pressure therapy, polymorbidity.
Published online: 15-Dec-2015
Year: 2015, Volume: 116, Issue: 12 Page From: 719, Page To: 721

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