An interesting case of devastating burn injury over scalp with exposed duramater without skull bone in fronto parietal area of 6 years aged child for reconstruction

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International Journal of Development Research

An interesting case of devastating burn injury over scalp with exposed duramater without skull bone in fronto parietal area of 6 years aged child for reconstruction

Abstract: 

Tissue expansion has become the most important armamentarium for aesthetic scalp reconstruction as it allows the surgeon to cover large defects using local tissue of appropriate colour, texture and adnexal structure with minimum donor site morbidity. It is commonly used in reconstruction of large defects created due to any trauma, electric burn over scalp, excision of tumors, carcinoma of breast following reconstruction of operation and in many other conditions. A child aged 6 years who came accompanied with her parents with injury to scalp from a devastating fire accident  at the age of 2 years treated outside for 4 years she was having exposed area of skull with pulsating duramater with a thin layer of unhealthy skin without skull bone. She was subjected to the placement of a rectangular silicone tissue expander inside local hair bearing area of healthy tissue after the excision of unhealthy tissue. The frontoparietal defect of scalp with exposed visible pulsating duramatter along with absence of outer calvarium was subjected to placement of tissue expander inside the healthy area of scalp to achieve required flap dimension. Excision of unhealthy tissue over the defect with exposed inner skull bone was done and defect was covered with flap created through tissue expander. The use of tissue expander yielded adequate flap coverage and also excellent aesthetic and cosmetic result at the end of 6 months of follow up.

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