Calvarial erosion after scalp expansion.
A case is described of tissue expansion of the scalp with resultant erosion of the outer table and diploe of the calvaria. This resorption may have resulted from a prolonged period of expansion, excessive tension from inflation, and/or the nature or location of the defect. In cases of scalp expansion where the loose areolar space has become obliterated, periodic limited computed tomographic scanning may be useful to monitor the integrity of the skull. Postexpansion protective headgear may be indicated in selected patients.
Hemmer
K M
KM
Division of Plastic Surgery, Washington University Medical Center, St Louis, MO.
Marsh
J L
JL
Picker
S
S
D000505:Alopecia / Q000473:pathology; D016025:Bone Transplantation; D001929:Brain Edema / Q000473:pathology*; D002675:Child, Preschool; D002921:Cicatrix / Q000601:surgery; D003399:Craniotomy; D006408:Hematoma, Subdural / Q000601:surgery*; D006801:Humans; D008297:Male; D009336:Necrosis; D010294:Parietal Bone / Q000601:surgery*; D011183:Postoperative Complications / Q000473:pathology*; D012535:Scalp / Q000473:pathology*; D013524:Surgical Flaps