Shen Wei-min, Cui Jie, Chen Jian-bin, Wang Gang, Zou Ji-jun, Ji Yi, Chen Hai-ni
Department of Burn & Plastic Surgery, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing 210008, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2010 Mar;26(2):85-8.
To investigate the management of congenital scalp defects in infants.
From 1996 to 2008, 6 infants with congenital scalp defects were treated with dressing change, flap transposition, or tissue expansion combined with skull defect reconstruction.
Parietal scalp defects in 6 cases were healed after treatment. 5 cases were followed up for 3 months to one year. 2 cases had scalp alopecia in some areas. The scar was inconspicuous in the other 3 cases.
Dressing change is suitable for small scalp defect, while flap transposition should be used for medium defect. For large full-thickness cranial defect, dressing change and tissue expansion should be performed at the first stage, followed by skull defect reconstruction and expanded flap transposition.