title: A novel use of integra™ bilayer matrix wound dressing on a pediatric scalp avulsion: a case report.
abstract: OBJECTIVE
  Soft tissue injuries with full-thickness skin involvement not amenable to local flaps may be treated with dermal matrices and subsequent skin grafting.
  
  
  METHODS
  A pediatric patient presented with a 50-cm(2) scalp avulsion down to periosteum and outer cranial table post-vehicular trauma. After cultivating healthy cranial neodermis with Integra Bilayer Matrix Wound Dressing, a novel modification of treatment protocol was attempted by removal of the silastic layer.
  
  
  RESULTS
  Neodermis transformation to granulation tissue followed by contraction of the wound reduced alopecia while also eliminating the need for a split-thickness skin graft to the area.
  
  
  CONCLUSIONS
  A novel modification of treatment protocols utilizing acellular dermal matrices improved aesthetic outcomes and may present a cost-, time-, and procedure-sparing treatment option for avulsion injuries.
authors.affiliation: Nassau University Medical Center, Garden City, NY ; Long Island Plastic Surgical Group, Garden City, NY.
authors.forename: Michael
authors.initials: M
authors.lastname: Singer
authors.affiliation: Nassau University Medical Center, Garden City, NY ; Long Island Plastic Surgical Group, Garden City, NY.
authors.forename: Jessica
authors.initials: J
authors.lastname: Korsh
authors.affiliation: Nassau University Medical Center, Garden City, NY ; Long Island Plastic Surgical Group, Garden City, NY.
authors.forename: William
authors.initials: W
authors.lastname: Predun
authors.affiliation: Nassau University Medical Center, Garden City, NY ; Long Island Plastic Surgical Group, Garden City, NY.
authors.forename: Dennis
authors.initials: D
authors.lastname: Warfield
authors.affiliation: Nassau University Medical Center, Garden City, NY ; Long Island Plastic Surgical Group, Garden City, NY.
authors.forename: Richard
authors.initials: R
authors.lastname: Huynh
authors.affiliation: Nassau University Medical Center, Garden City, NY.
authors.forename: Thomas
authors.initials: T
authors.lastname: Davenport
authors.affiliation: Nassau University Medical Center, Garden City, NY ; Long Island Plastic Surgical Group, Garden City, NY.
authors.forename: Louis
authors.initials: L
authors.lastname: Riina
keywords: Integra; alopecia; avulsion; matrix; wound
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