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- L H Engrav, B J Grube, and P J Bubak.
- Department of Surgery, University of Washington, Seattle 98195.
- Ann Plast Surg. 1990 Feb 1; 24 (2): 162-4.
AbstractThe scalp has become a popular donor site for split-thickness skin, and few complications have been reported. However, we have been troubled by 5 patients in whom the donor site did not epithelialize but rather turned into dried granulation tissue with embedded growing hairs, a situation rather like concrete with steel reinforcing rods. The pathophysiology is not clear but seems to be related to thick grafts from hair-bearing areas. We treated the lesions by removing the granulation tissue, shaving the hair, and treating the wound as a new donor site. Four lesions healed with total or near total regrowth of hair, and one required a small skin graft.
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