Scalping injuries: new technique for stabilization of flaps to the skull
Schubert, W.; Guzman-Stein, G.; Hope, R.; Ahrenholz, D.H.; Solem, L.D.; Cunningham, B.L.
Plastic and Reconstructive Surgery 81(5): 780-782
1988
ISSN/ISBN: 0032-1052 PMID: 3283793 Document Number: 316195
Extensive scalping injuries offer a unique challenge for tissue coverage because of the wide expanse of bone and lack of deep soft tissue or significant perforating vessels. For smaller injuries, pedicle flaps offer ideal coverage. Larger defects can be covered by omental flaps. Coverage with a free muscle flap followed by split-thickness skin grafting offers optimal long-term coverage. Two new techniques are introduced. The wire-button technique offers stabilization, and the halo frame provides good support and protection for a new free-flap graft and may increase the success rate of flaps in patients with scalping injuries.