Scalp defect associated with extensive fibrosis of artificial dura requiring modified closure

Authors

  • Janhavi Sirsat Department of Surgery, School of Medical Sciences, Health Campus, Universiti Sains Malaysia & Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
  • Muath Al Chalabi Reconstructive Sciences Unit, School of Medical Sciences, Universiti Sains Malaysia & Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
  • Ahmad Sukari Halim Reconstructive Sciences Unit, School of Medical Sciences, Universiti Sains Malaysia & Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
  • Abdul Rahman Izaini Ghani Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia & Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia

DOI:

https://doi.org/10.3329/bjms.v23i4.76553

Keywords:

scalp, surgical flap, wound closure techniques, temporal artery

Abstract

Background A variety of methods are available for scalp defect closure and necessitate extensive planning. Superficial temporal artery (STA) based local flaps are widely used in the field of scalp and face reconstruction because of their flexibility and rich vascularity. Rotation and transposition techniques are commonly used in the area, however at times result in excessive tension. V-Y advancement allows tension-free closure with reduced post-operative complications. Case presentation A case of scalp defect post multiple craniectomies for a traumatic head injury complicated with subgaleal collection and poor wound healing in a 29-year-old male, is reported. Due to the nature of defect, with underlying fibrosis and previous artificial duraplasty, along with location in the frontotemporal region, a local STA based flap closed in a rotation, transposition and unilateral V-Y advancement pattern was used. Conclusion The challenges encountered in wound closure of complicated post-traumatic and multiple craniectomy cases can be overcome with a modified combined approach which achieves optimal wound closure.

Bangladesh Journal of Medical Science Vol. 23 No. 04 October’24 Page : 1227-1232

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Published

2024-10-02

How to Cite

Sirsat, J., Al Chalabi, M., Halim, A. S., & Izaini Ghani, A. R. (2024). Scalp defect associated with extensive fibrosis of artificial dura requiring modified closure. Bangladesh Journal of Medical Science, 23(4), 1227–1232. https://doi.org/10.3329/bjms.v23i4.76553

Issue

Vol. 23 No. 4 (2024)

Section

Case Reports

License

Copyright (c) 2024 Janhavi Sirsat, Muath Al Chalabi, Ahmad Sukari Halim, Abdul Rahman Izaini Ghani

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