TITLE:
Scalp Reconstruction Using Integra, an Alternative to Free Tissue Transfer—Case Report
AUTHORS:
Victoria Fung, Richard L. Chalmers, Jenny L. C. Geh
KEYWORDS:
Irradiated Scalp, Reconstruction, Integra, Resection, Melanoma, Dermal Substitute
JOURNAL NAME:
Open Access Library Journal,
Vol.1 No.5,
August
6,
2014
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.