title: Application of negative pressure wound therapy in scalp reconstruction.
abstract: Scalp defects in old polymorbid patients are still therapeutic challenge for reconstructive surgeons. We present the case of a male who underwent an excessive tumour resection with the unsuccessful skin graft coverage. The patient developed a progressive skin graft necrosis and infection with an exposure of calvarial bone. Initial surgical debridement and topical treatment resulted in an excessive bone exposure. We decided to use a negative pressure therapy after multiple bone trephinations, to improve growth of new vital tissue in bone-exposed area. This maneuverer, followed by a split thickness skin graft coverage, allowed a progressive defect healing. In such old polymorbid patient, calvarial bone trephinations with a negative pressure therapy could be considered to achieve effective and considerable results (Fig. 4, Ref. 16).
authors.forename: M
authors.initials: M
authors.lastname: Bohac
authors.forename: K
authors.initials: K
authors.lastname: Mikusz
authors.forename: J
authors.initials: J
authors.lastname: Fedeles
keywords: negative pressure therapy; polymorbidity.; scalp reconstruction