[Treatment of overtime avulsion of scalp with split thickness scalp skin grafting: 7 cases of reports].

OBJECTIVE

To investigate a treatment method for overtime avulsion of scalp.

METHODS

Form October 1992 to July 2001, we treated 7 cases of avulsed scalp, which had been wounded more than 12 hours and accompanied with shock and head wound, with split thickness scalp skin grafting.

RESULTS

Except for partial necrosis of scalp in center of bare area of skull, more than 90% of grafting split thickness scalp skin survived in 4 cases and more than 80% in 3 cases, and presented satisfactory appearance during following up. The bare area had no periosteum above 4 cm in diameter needed to graft split thickness skin after skull was covered granulation tissue.

CONCLUSION

The limits of time of scalp skin grafting will be prolonged as long as the processes are settled properly to maintain the skin of body.