title: One-Stage Reconstruction of Scalp after Full-Thickness Oncologic Defects Using a Dermal Regeneration Template (Integra).
abstract: The use of Dermal Regeneration Template (DRT) can be a valid alternative for scalp reconstruction, especially in elderly patients where a rapid procedure with an acceptable aesthetic and reliable functional outcome is required. We reviewed the surgical outcome of 20 patients, 14 (70%) males and 6 (30%) females, who underwent application of DRT for scalp reconstruction for small defects (group A: mean defect size of 12.51 cm(2)) and for large defects (group B: mean defect size of 28.7 cm(2)) after wide excision of scalp neoplasm (basal cell carcinoma and squamous cell carcinoma). In group A, the excisions were performed to the galeal layer avoiding pericranium, and in group B the excisions were performed including pericranium layer with subsequent coverage of the exposed bone with local pericranial flap. In both the groups (A and B) after the excision of the tumor, the wound bed was covered with Dermal Regeneration Template. In 3 weeks we observed the complete healing of the wound bed by secondary intention with acceptable cosmetic results and stable scars. Scalp reconstruction using a DRT is a valid coverage technique for minor and major scalp defects and it can be conducted with good results in elderly patients with multiple comorbidities.
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", 00133 Rome, Italy.
authors.forename: Barbara
authors.initials: B
authors.lastname: De Angelis
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", 00133 Rome, Italy ; Catholic University "Our Lady of Good Counsel", Tirana, Albania.
authors.forename: Pietro
authors.initials: P
authors.lastname: Gentile
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", 00133 Rome, Italy.
authors.forename: Eleonora
authors.initials: E
authors.lastname: Tati
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", 00133 Rome, Italy.
authors.forename: Davide J
authors.initials: DJ
authors.lastname: Bottini
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", 00133 Rome, Italy.
authors.forename: Ilaria
authors.initials: I
authors.lastname: Bocchini
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", 00133 Rome, Italy.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Orlandi
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", 00133 Rome, Italy.
authors.forename: Giampiero
authors.initials: G
authors.lastname: Pepe
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", 00133 Rome, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Di Segni
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", 00133 Rome, Italy.
authors.forename: Giulio
authors.initials: G
authors.lastname: Cervelli
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", 00133 Rome, Italy.
authors.forename: Valerio
authors.initials: V
authors.lastname: Cervelli
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002809:Chondroitin Sulfates / Q000627:therapeutic use; D003094:Collagen / Q000627:therapeutic use; D005260:Female; D048091:Guided Tissue Regeneration / Q000379:methods*; D006801:Humans; D008297:Male; D012535:Scalp / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery*
chemical_list: C114835:integra artificial skin; D002809:Chondroitin Sulfates; D003094:Collagen