Journal of Cutaneous and Aesthetic Surgery

CASE REPORT
Year
: 2010  |  Volume : 3  |  Issue : 2  |  Page : 106--110

Reconstruction of a large scalp defect by the sequential use of dermal substitute, self-filling osmotic tissue expander and rotational flap


Uwe Wollina1, Yousef Bayyoud2 
1 Department of Dermatology and Allergology, Section of Neurosurgery, Reconstructive and Hand Surgery, Hospital Dresden-Friedrichstadt, Academic Teaching Hospital of the Technical University of Dresden, Dresden, Germany
2 Department of Trauma Surgery, Section of Neurosurgery, Reconstructive and Hand Surgery, Hospital Dresden-Friedrichstadt, Academic Teaching Hospital of the Technical University of Dresden, Dresden, Germany

Correspondence Address:
Uwe Wollina
Department of Dermatology and Allergology, Section of Neurosurgery, Reconstructive and Hand Surgery, Hospital Dresden-Friedrichstadt, Academic Teaching Hospital of the Technical University of Dresden, Friedrichstrasse 41, 01067 Dresden
Germany

Large scalp defects pose a challenge for the surgeon. Here, we present a 31-year-old male patient with a soft tissue defect on the temple with exposed bone. To allow reconstruction, we placed a self-filling osmotic expander in the subgaleal pocket for 12 weeks. The final volume of the tissue expander was 300 mL. In the last step, a rotational flap was created after removal of the tissue expander from its pocket. Thereby, a tension-free suturing was possible. The post-surgical healing was uncomplicated. Osmotic tissue expanders are a valuable tool for the closure of large tissue defects without the necessity of repeated filling procedures.


How to cite this article:
Wollina U, Bayyoud Y. Reconstruction of a large scalp defect by the sequential use of dermal substitute, self-filling osmotic tissue expander and rotational flap.J Cutan Aesthet Surg 2010;3:106-110


How to cite this URL:
Wollina U, Bayyoud Y. Reconstruction of a large scalp defect by the sequential use of dermal substitute, self-filling osmotic tissue expander and rotational flap. J Cutan Aesthet Surg [serial online] 2010 [cited 2021 Sep 24 ];3:106-110
Available from: https://www.jcasonline.com/article.asp?issn=0974-2077;year=2010;volume=3;issue=2;spage=106;epage=110;aulast=Wollina;type=0