• J Plast Reconstr Aesthet Surg · Dec 2010

    Case Reports

    The use of Dermal Regeneration Template (Integra®) for reconstruction of a large full-thickness scalp and calvarial defect with exposed dura.

    • Muhammad Adil Abbas Khan, Elizabeth Chipp, Joseph Hardwicke, Karthik Srinivasan, Simon Shaw, and Sukh Rayatt.
    • Department of Plastic and Reconstructive Surgery, University Hospital North Staffordshire, Newcastle Road, Stoke on Trent, Staffordshire ST4 6QG, United Kingdom.
    • J Plast Reconstr Aesthet Surg. 2010 Dec 1;63(12):2168-71.

    AbstractThe reconstruction of large full-thickness scalp defects remains a challenge, particularly when dura is exposed. Various reconstructive methods have been described in the past. Dermal Regeneration Templates (DRTs) are becoming increasingly popular in the management of acute wounds as well as the reconstruction of burn scars, oncological defects and various other complex reconstructive problems. We describe a case where Integra® was successfully used together with a Vacuum-Assisted Closure (VAC) dressing to reconstruct a full-thickness scalp defect with exposed dura. Surgical technique is discussed as well as problems encountered during the case and possible solutions.Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

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