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;63(12):2168-71. doi: 10.1016/j.bjps.2010.03.017. Epub 2010 Mar 23.
The 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.
大面积全层头皮缺损的重建仍然是一个挑战，特别是当硬脑膜暴露时。过去已经描述了各种重建方法。真皮再生模板（DRTs）在急性伤口的处理以及烧伤疤痕、肿瘤缺损和各种其他复杂重建问题的重建中越来越受欢迎。我们描述了一个成功使用 Integra®与真空辅助闭合（VAC）敷料联合重建全层头皮缺损伴硬脑膜暴露的病例。讨论了手术技术以及在该病例中遇到的问题和可能的解决方案。
