title: [The impact of the VAC-treatment for locally advanced malignancy of the scalp].
abstract: Locally advanced cutaneous malignancy of the scalp is a disease that requires an aggressive approach to resection and reconstruction. In cases where the pericranium is intact a split-thickness skin graft is a simple treatment, since direct closure often fails because due to the lack of elasticity of the scalp. If there is a loss of periosteum or a skull defect local or free flaps are necessary for sufficient coverage. Increasing geriatric and polymorbid patients with impaired wound healing require surgical treatment, considering pros and cons for general anaesthesia. A simple method of both, combining radicality of tumor resection with outer table bone and skin grafting as a two stage procedure, while minimizing perioperative risk using local anaesthesia and analgo-sedation, using the vacuum assisted closure device, is presented.
authors.affiliation: Klinische Abteilung für Plastische Chirurgie, Medizinische Universität Graz, Graz, Austria.
authors.forename: M V
authors.initials: MV
authors.lastname: Schintler
authors.forename: E-C
authors.initials: EC
authors.lastname: Prandl
authors.forename: G
authors.initials: G
authors.lastname: Wittguber
authors.forename: B
authors.initials: B
authors.lastname: Zink
authors.forename: S
authors.initials: S
authors.lastname: Spendel
authors.forename: B
authors.initials: B
authors.lastname: Hellbom
authors.forename: E
authors.initials: E
authors.lastname: Scharnagl
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002280:Basal Cell Carcinoma / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D003646:Debridement / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008838:Microcomputers; D009779:Occlusive Dressings; D011140:Polyurethanes; D012535:Scalp / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery*; D016038:Skin Transplantation / Q000295:instrumentation*; D025321:Surgery, Computer-Assisted / Q000295:instrumentation; D013536:Suture Techniques / Q000295:instrumentation*; D014618:Vacuum; D014945:Wound Healing / Q000502:physiology
chemical_list: D011140:Polyurethanes; C028279:polyurethane foam