Total scalp avulsion reconstruction with acellular dermal matrix and split thickness skin graft: A case report

Full thickness total scalp avulsion injuries present a complex reconstructive challenge. Here we present a case of a 32-year-old female with an extensive full thickness scalp avulsion injury from a fishing boat engine accident that led to a unique injury pattern and loss of pericranium. This case re...

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Main Authors: Stuart Allyn, Rachel Lim, Andrea Burke
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Oral and Maxillofacial Surgery Cases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214541923000330
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author Stuart Allyn
Rachel Lim
Andrea Burke
author_facet Stuart Allyn
Rachel Lim
Andrea Burke
author_sort Stuart Allyn
collection DOAJ
description Full thickness total scalp avulsion injuries present a complex reconstructive challenge. Here we present a case of a 32-year-old female with an extensive full thickness scalp avulsion injury from a fishing boat engine accident that led to a unique injury pattern and loss of pericranium. This case report demonstrates the effectiveness of acellular dermal matrix and split thickness skin grafting in reconstruction of full thickness scalp avulsion injuries where there is significant loss of pericranium. After this patient's reconstruction, six-month postoperative follow up demonstrated an acceptable functional and esthetic outcome.
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spelling doaj.art-22420dd69d4244ef92a6faad2d267f102023-08-27T04:27:31ZengElsevierOral and Maxillofacial Surgery Cases2214-54192023-09-0193100324Total scalp avulsion reconstruction with acellular dermal matrix and split thickness skin graft: A case reportStuart Allyn0Rachel Lim1Andrea Burke2Resident, Department of Oral & Maxillofacial Surgery, University of Washington School of Dentistry, 1959 NE Pacific Street, Seattle, WA, 98195, USA; Corresponding author. Department of Oral & Maxillofacial Surgery, University of Washington School of Dentistry, 1959 NE Pacific Street, Box 357134, Seattle, WA, 98195, USA.Resident, Department of Oral & Maxillofacial Surgery, University of Washington School of Dentistry, 1959 NE Pacific Street, Seattle, WA, 98195, USAAssistant Professor, Department of Oral & Maxillofacial Surgery, University of Washington School of Dentistry, 1959 NE Pacific Street, Box 357134, Seattle, WA, 98195, USAFull thickness total scalp avulsion injuries present a complex reconstructive challenge. Here we present a case of a 32-year-old female with an extensive full thickness scalp avulsion injury from a fishing boat engine accident that led to a unique injury pattern and loss of pericranium. This case report demonstrates the effectiveness of acellular dermal matrix and split thickness skin grafting in reconstruction of full thickness scalp avulsion injuries where there is significant loss of pericranium. After this patient's reconstruction, six-month postoperative follow up demonstrated an acceptable functional and esthetic outcome.http://www.sciencedirect.com/science/article/pii/S2214541923000330Maxillofacial traumaScalp deglovingReconstructionAcellular dermal matrixSplit thickness skin graft
spellingShingle Stuart Allyn
Rachel Lim
Andrea Burke
Total scalp avulsion reconstruction with acellular dermal matrix and split thickness skin graft: A case report
Oral and Maxillofacial Surgery Cases
Maxillofacial trauma
Scalp degloving
Reconstruction
Acellular dermal matrix
Split thickness skin graft
title Total scalp avulsion reconstruction with acellular dermal matrix and split thickness skin graft: A case report
title_full Total scalp avulsion reconstruction with acellular dermal matrix and split thickness skin graft: A case report
title_fullStr Total scalp avulsion reconstruction with acellular dermal matrix and split thickness skin graft: A case report
title_full_unstemmed Total scalp avulsion reconstruction with acellular dermal matrix and split thickness skin graft: A case report
title_short Total scalp avulsion reconstruction with acellular dermal matrix and split thickness skin graft: A case report
title_sort total scalp avulsion reconstruction with acellular dermal matrix and split thickness skin graft a case report
topic Maxillofacial trauma
Scalp degloving
Reconstruction
Acellular dermal matrix
Split thickness skin graft
url http://www.sciencedirect.com/science/article/pii/S2214541923000330
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AT andreaburke totalscalpavulsionreconstructionwithacellulardermalmatrixandsplitthicknessskingraftacasereport