[Continuous elastic skin expansion for closure of the loss of substance of the scalp].
The authors present a case report of a traumatic defect of the scalp involving all layers including galea and periost measuring 10 x 14 cm. The surgical repair of the scalp avulsion was obtained in 3 weeks using Continuous Skin Extension procedure with Kirschner pins threaded through the wound margins, held together with elastic bands. Traction forces were modified twice a week in our patient basis. No undermining was necessary. The authors analyse the benefits of this technic and describe the alternative surgical procedure. This technique is easy to handle, cheap, safe, and requires a single surgical step. Furthermore, it quickly allows the patient to proceed with his work.
Chikhani
L
L
Clinique de Stomatologie et de Chirurgie Maxillo-Faciale, Hôpital de la Pitié-Salpêtrire, Paris.
Mitrofanoff
M
M
Lockhart
R
R
Fleuridas
G
G
Bertrand
J C
JC
Guilbert
F
F
D001858:Bone Nails; D005205:Fascia / Q000293:injuries; D000071938:Fasciotomy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000293:injuries / Q000601:surgery; D010294:Parietal Bone / Q000293:injuries / Q000601:surgery; D010521:Periosteum / Q000293:injuries / Q000601:surgery; D012535:Scalp / Q000293:injuries* / Q000601:surgery; D013314:Stress, Mechanical; D014143:Traction / Q000295:instrumentation / Q000379:methods