Scalp Reconstruction Using Integra, an Alternative to Free Tissue Transfer—Case Report

Victoria Fung¹, Richard L. Chalmers¹, Jenny L. C. Geh²

¹Department of Plastic Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
²Department of Plastic Surgery, Guys & St Thomas’ NHS Foundation Trust, London, UK.

DOI: 10.4236/oalib.1100747                

Abstract

We present a case of scalp reconstruction using Integra^® and split skin grafting after extensive excision of melanoma in a previously irradiated field. Radical resection of malignancy and application of Integra^®, a dermal substitute, was performed. Following histological confirmation of complete excision, a split-thickness skin graft (SSG) was applied. After 14 months the patient remains fully healed and without recurrence. The 2-stage use of Integra^® and SSG is useful in reconstructing large scalp defects—it produces an acceptable aesthetic outcome and avoids the need for complex free flap surgery.

Keywords

Irradiated Scalp, Reconstruction, Integra, Resection, Melanoma, Dermal Substitute

Conflicts of Interest

The authors declare no conflicts of interest.

References

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