title: Threatened ventriculostomy shunt exposure: augmenting native soft tissue coverage with acellular dermal matrix graft.
abstract: Avoiding threatened ventriculostomy shunt exposure in the pediatric population remains a difficult problem for the neurosurgeon and reconstructive surgeon. In this case series, the authors present a novel method of augmenting scalp soft tissue with acellular dermal matrix (ADM) in patients with a history of ventricular shunt revisions. Soft tissue augmentation with ADM successfully prevented shunt exposure in 3 patients with a history of shunt revision due to impending exposure following conventional techniques.
authors.affiliation: Division of Plastic & Reconstructive Surgery, Department of Surgery, Virginia Commonwealth University Health System, Richmond, Virginia 23298, USA. tsridder@mcvh-vcu.edu
authors.forename: Thomas
authors.initials: T
authors.lastname: Ridder
authors.forename: Shuhao
authors.initials: S
authors.lastname: Zhang
authors.forename: Gary
authors.initials: G
authors.lastname: Tye
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Rhodes
mesh_terms: D062088:Acellular Dermis; D000168:Acrocephalosyndactylia / Q000150:complications; D000328:Adult; D002547:Cerebral Palsy / Q000150:complications; D002557:Cerebrospinal Fluid Shunts; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000601:surgery*; D008297:Male; D012535:Scalp / Q000601:surgery*; D013771:Tetralogy of Fallot / Q000150:complications; D014696:Ventriculostomy