Open AccessSurgical treatment of the parieto-occipital region extensive scalped wound
Author(s) -
В. А. Митиш,
П. В. Мединский,
В. Г. Багаев
Publication year - 2021
Publication title -
rany i ranevye infekcii. žurnal imeni prof. b.m. kostûčënka/rany i ranevye infekcii
Language(s) - English
Resource type - Journals
eISSN - 2500-0594
pISSN - 2408-9613
DOI - 10.25199/2408-9613-2021-8-1-42-49
Subject(s) - scalp , occipital region , surgery , medicine , plastic surgery , wound closure , hair growth , soft tissue , wound healing , anatomy , physiology
In the presented clinical case, we consider the surgical treatment of a 9-year-old girl with an extensive post-traumatic scalp wound in the parieto-occipital region resulting from hair getting into the moving mechanism of a go-kart car and incomplete separation of the scalp in the parieto-occipital region of the head. The early postoperative period (surgical treatment with primary wound closure) was complicated by the development of skin necrosis. An extensive wound defect in the soft tissues of the scalp (up to 150 cm 2 ) was replaced with local related tissues. For this, various methods of plastic surgery were used in different areas of the wound defect: plastic surgery with local tissues, replacement of the defect with a rotated fascio-cutaneous flap and plastic surgery with local tissues using the dosed stretching method. The combined use of these methods made it possible to completely restore full-fledged soft tissues and hair of the injured parieto-occipital region.