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

DOI: 10.4236/oalib.1100747   PDF        1,592 Downloads   2,267 Views   Citations

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.

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Fung, V. , Chalmers, R. and Geh, J. (2014) Scalp Reconstruction Using Integra, an Alternative to Free Tissue Transfer—Case Report. Open Access Library Journal, 1, 1-5. doi: 10.4236/oalib.1100747.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Komorowska-Timek, E., Gabriel, A., Bennett, D.C., Miles, D., Garberoglio, C., Cheng, C. and Gupta, S. (2005) Artificial Dermis as an Alternative for Coverage of Complex Scalp Defects Following Excision of Malignant Tumors. Plastic & Reconstructive Surgery, 115, 1010-1017.
http://dx.doi.org/10.1097/01.PRS.0000154210.60284.C6
[2] Gonyon Jr., D.L. and Zenn, M.R. (2003) Simple Approach to the Radiated Scalp Wound Using INTEGRA Skin Substitute. Annals of Plastic Surgery, 50, 315-320.
http://dx.doi.org/10.1097/01.SAP.0000046788.45508.A3
[3] Abai, B., Thayer, D. and Glat, P.M. (2004) The Use of a Dermal Regeneration Template (Integra) for Acute Resurfacing and Reconstruction of Defects Created by Excision of Giant Hairy Nevi. Plastic & Reconstructive Surgery, 114, 162-168.
http://dx.doi.org/10.1097/01.PRS.0000129078.41960.92
[4] Sawyer, A.R., McGoldrick, R.B., Mackey, S.P., Powell, B. and Pohl, M. (2007) Malignant Melanoma Following Scalp Irradiation for Tinea Capitis. Journal of Plastic, Reconstructive & Aesthetic Surgery, 60, 1239-1240.
http://dx.doi.org/10.1016/j.bjps.2007.03.014
[5] Moiemen, N.S., Staiano, J.J., Ojeh, N.O., Thway, Y. and Frame, J.D. (2001) Reconstructive Surgery with a Dermal Regeneration Template: Clinical and Histologic Study. Plastic & Reconstructive Surgery, 108, 93-103.
http://dx.doi.org/10.1097/00006534-200107000-00015

  
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