title: Usefulness of scalp expansion for cranioplasty in a case with postinfection large calvarial defect: a case report.
abstract: 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.
authors.affiliation: Department of Neurosurgery, National Defense Medical College, Tokorozawa, Saitama 359-8513, Japan. yosateke@ndmc.ac.jp
authors.forename: Takahito
authors.initials: T
authors.lastname: Miyazawa
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Azuma
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Nakamura
authors.forename: Tomoharu
authors.initials: T
authors.lastname: Kiyosawa
authors.forename: Katsuji
authors.initials: K
authors.lastname: Shima
mesh_terms: 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*