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Updated: Nov 3, 2025

Murine Model of Controlled Cortical Impact for the Induction of Traumatic Brain Injury
Published on: August 16, 2019
Management of Scalp Injuries
Joshua Yoon1, Joseph S Puthumana2, Arthur J Nam3
1Division of Plastic, Reconstructive & Maxillofacial Surgery, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 110 South Paca Street, Room 4S-125, Baltimore, MD 21201, USA; Department of Surgery, George Washington University Hospital, Washington, DC, USA.
Abstract:
Soft tissue wounds in the scalp are a common occurrence after trauma or resection of a malignancy. The reconstructive surgeon should strive to use the simplest reconstructive technique while optimizing aesthetic outcomes. In general, large defects with infection, previous irradiation (or require postoperative radiation), or with calvarial defects usually require reconstruction with vascularized tissue (ie, microvascular free tissue transfer). Smaller defects greater than 3 cm that are not amenable to primary closure can be treated with local flap reconstruction. In all cases, the reconstruction method will need be tailored to the patient's health status, desires, and aesthetic considerations.
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