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.

CONCLUSION:

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: Michael Singer, Jessica Korsh, William Predun, Dennis Warfield Jr, Richard Huynh, Thomas Davenport, Louis Riina
• Journal: Eplasty (Eplasty) Vol. 15 Pg. e8 ( 2015) ISSN: 1937-5719 [Print] United States
• PMID: 25834690 (Publication Type: Journal Article)