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Reconstruction of an avulsive scalp wound using tissue expansion

International Journal of Oral and Maxillofacial Surgery(2011)

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Abstract
Avulsive scalp wounds are difficult to treat due to the loss of skin as well as the loss of hair. Not only does such a wound leave the patient with a significant cosmetic deformity, but with a loss of protection of the skull. Additionally, the lack of hair exposes the remaining skin to the damaging effects of the sun. Several factors make these injuries difficult to treat. Concomitant injuries, infections, and a patient's medical history may play a role. From a technical point of view, avulsive scalp wounds present specific challenges. Replacing the missing scalp with hair bearing skin of a similar pattern and density to adjacent scalp is a primary goal. Additionally, reconstructed scalp must be of the same thickness as adjacent scalp. Occasionally, a scalp wound is small enough that primary closure is possible.
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Key words
avulsive scalp wound,reconstruction,tissue
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