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Updated: Aug 12, 2026
11:58
Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Management of scalp injuries
The Journal of Trauma
|August 1, 1982
Summary
Scalp avulsion injuries, often from accidents, affect young females. Treatment varies from skin grafting for intact pericranium to bone preparation for bare bone exposure, with wigs needed for rehabilitation.
Area of Science:
- Trauma Surgery
- Plastic Surgery
- Dermatology
Background:
- Scalp avulsions are increasingly common due to industrialization and traffic accidents.
- These injuries pose significant reconstructive challenges.
Observation:
- The study reviewed 20 cases of scalp avulsion over five years.
- Victims were predominantly young females.
Findings:
- Treatment depends on pericranium integrity: split-skin grafting for intact pericranium.
- For exposed bone, local flaps are preferred; otherwise, skull preparation (chiseling or drilling) promotes granulation tissue for split-skin grafting.
- Grafts do not restore hair growth, necessitating wigs for functional and psychological recovery.
Implications:
- Effective management requires tailored surgical approaches based on injury extent.
- Rehabilitation necessitates addressing both physical and psychological aspects, including hair restoration alternatives.
- Preventive measures are crucial to reduce the incidence of these severe injuries.
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