[Soft tissue reconstruction after scalping injury caused by a dog bite].
The reconstruction of soft-tissue damage on the part of the head which is covered with hair is aimed not only at repairing the damage in such a way that it will withstand mechanical strain but also at the restoring the hair on the scalp. In a 5-year-old boy with a scalping injury involving second- and third-degree soft-tissue damage over an area of 20 x 12 cm after a dog bite, surgery was initially performed to transform the damage into purely second-degree damage, which was then repaired with a split skin graft. One year later, the scalp containing the hair was stretched with the aid of two skin expanders over a period of 3 months, so that the split skin graft area could be removed and the hair on the scalp restored.
Mentzel
M
M
Abteilung Unfallchirurgie, Hand- und Wiederherstellungschirurgie, Universität Ulm. martin.mentzel@medizin.uni-ulm.de
Ebinger
T
T
Hoss
H
H
Halder
A
A
Kinzl
L
L
Wachter
N J
NJ
D000818:Animals; D001733:Bites and Stings / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000601:surgery; D004285:Dogs; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012086:Reoperation; D012535:Scalp / Q000293:injuries* / Q000601:surgery; D016038:Skin Transplantation; D015625:Tissue Expansion Devices