Staged reconstruction of an extensive oncologic scalp defect using two complementary dermal scaffolds and a cultured autologous skin equivalent: A case report.
Luis Junquera, Sergi Herrera I Nogués, Ana Martínez-Carrillo et al.
✦ AI-curated · Sources linked
Case in brief
An 87-year-old woman presented with a 16 × 13 cm full-thickness scalp defect following the excision of a basal cell carcinoma. Reconstruction involved using a human acellular dermal matrix for the anterior wound and a bilayer collagen-glycosaminoglycan dermal regeneration template for the posterior wound. After successful integration and resurfacing with a cultured autologous skin equivalent, the defect achieved complete coverage and acceptable contour at 9 months, with no further complications.
Diagnostic / clinical pearl
In older patients with extensive scalp defects, staged reconstruction using dermal scaffolds and cultured skin equivalents can be an effective alternative to flap surgery, minimizing donor-site morbidity.