Usefulness of scalp expansion for cranioplasty in a case with postinfection large calvarial defect: a case report.
BACKGROUND
We frequently experience difficulty in scalp adaptation on cranioplastic surgery, particularly after wound infection, because of scalp atrophy, poor nutritional condition, and tense suture.


METHODS
We report our valuable experience of scalp expansion being effective for cranioplastic surgery due to a postinfection large calvarial defect after the removal of a convexity meningioma.


CONCLUSIONS
If there is some anxiety about scalp adaptation preoperatively, it may be wise to perform a 2-stage cranioplasty, including tissue expansion with a scalp expander, instead of a hasty 1-stage cranioplasty.
Miyazawa
Takahito
T
Department of Neurosurgery, National Defense Medical College, Tokorozawa, Saitama 359-8513, Japan. yosateke@ndmc.ac.jp
Azuma
Ryuichi
R
Nakamura
Shinichiro
S
Kiyosawa
Tomoharu
T
Shima
Katsuji
K
D001037:Aphasia / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006094:Gram-Positive Bacteria / Q000302:isolation & purification; D006801:Humans; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D008579:Meningioma / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D008875:Middle Aged; D009367:Neoplasm Staging; D019651:Plastic Surgery Procedures / Q000379:methods*; D012535:Scalp / Q000382:microbiology* / Q000601:surgery*; D012720:Severity of Illness Index; D013530:Surgical Wound Infection / Q000382:microbiology / Q000601:surgery*; D015626:Tissue Expansion / Q000379:methods*