The use of integra in extensive full-thickness scalp burn involving the skull in a child

Louise E. M. de Haas, Kim L. M. Gardien, Antoine J. M. van Trier, Adrianus F. P. M. Vloemans, Dennis R. Buis

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11 Citations (Scopus)


Extensive full-thickness burn injury of the scalp involving the skull is a challenge to reconstruct. Here, the authors report a case of a 6-year old girl who suffered extensive flame burn injury involving a scalp defect of 1,5% total body surface area. After necrosectomy, full table damage of the skull was observed with a partially exposed dura mater. Neurosurgical consultation was necessary to accomplish a vital wound bed. Subsequently, in the absence of enough adequate tissue available for flap surgery reconstruction, reconstruction was performed by using a bilayer Integra Dermal Regeneration Template (IDRT) resulting in a lasting and stable coverage of the defect. This is the first case-report describing application of IDRT on a full-thickness scalp and skull defect with exposed dura mater in a child. Our results are encouraging and demonstrate that Integra can be used in a child to successfully cover exposed dura when no viable skull remains.
Original languageEnglish
Pages (from-to)888-890
JournalJournal of Craniofacial Surgery
Issue number3
Publication statusPublished - 1 May 2019

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