Tag Archives: Skin Graft

Plastic Surgery, Print Release

PUBLISHED: Integra Scalp Reconstruction: Addressing a Full-Thickness Scalp Defect with Exposed Calvarium Along Vertex in an Elderly Immunocompromised Patient

Integra Scalp Reconstruction: Addressing a Full-Thickness Scalp Defect with Exposed Calvarium Along Vertex in an Elderly Immunocompromised Patient
Cheryl Yu, MD1; Derek Sheen, MD2; Katherine M. Yu, MD1; Alyssa N. Calder, MD1; Christopher J. Kandl, MD1; Thomas Lee, MD, FACS1
1Virginia Commonwealth University Medical Center
2University of Texas Southwestern Medical Center

Reconstruction of full-thickness scalp defects often poses various challenges depending on the complexity and characteristics of the wound as well as independent patient health factors. Despite a range of reconstructive options ranging from primary closure, adjacent tissue transfer, and autografts to free flap reconstruction, there is no universally adopted decision algorithm.

Integra, an acellular matrix composed of crosslinked bovine collagen and glycosaminoglycan covered by a silicone membrane, is widely used for scalp reconstruction and has been shown to produce excellent functional and cosmetic results.

The featured case involves staged scalp reconstruction utilizing the Integra bilayer matrix wound dressing for an elderly immunocompromised patient presenting with two adjacent full-thickness scalp defects resulting in exposed calvarial bone over the vertex. The discussion centers on determining the most optimal scalp reconstructive option and exploring the treatment algorithm used at our institution. Furthermore, application of Integra for calvarial bone coverage will be discussed.

General Surgery, Global Surgery, Plastic Surgery, Preprint Release

PREPRINT RELEASE: Squamous Cell Carcinoma Excision from Right Forearm with Split-Thickness Skin Graft from the Thigh

Squamous Cell Carcinoma Excision from Right Forearm with Split-Thickness Skin Graft from the Thigh
Hospital Leonardo Martinez, Honduras

Geoffrey G. Hallock, MD
Plastic Surgery Consultant
Sacred Heart Campus, St. Luke’s Hospital
Allentown, Pennsylvania

In this case, Dr. Hallock performs a right forearm squamous cell carcinoma excision followed by a split-thickness skin graft from the thigh. It was filmed in Honduras on a surgical mission with the World Surgical Foundation.

Global Surgery, Hand Surgery, Orthopedics, Preprint Release

PREPRINT RELEASE: Bilateral Syndactyly Release of Third and Fourth Fingers


Bilateral Syndactyly Release of Third and Fourth Fingers
Hospital Leonardo Martinez, Honduras

Sudhir B. Rao, MD
Big Rapids Orthopaedics

Mark N. Perlmutter, MS, MD, FICS, FAANOS
Carolina Regional Orthopaedics

The patient in this case is a 1-year-old female with complex syndactyly of the right hand and simple syndactyly of the left hand. Here, Dr. Rao and Dr. Perlmutter release both sides, with the right side involving a full-thickness skin graft taken from the patient’s groin crease. This case was filmed during a surgical mission with the World Surgical Foundation in Honduras.

Announcement, General Surgery, Plastic Surgery, Preprint Release

PREPRINT RELEASE: Split-Thickness Skin Graft for Scar Release, Permanent Pigment Transfer, and Fractional CO2 Laser Therapy


Split-Thickness Skin Graft for Scar Release, Permanent Pigment Transfer, and Fractional CO2 Laser Therapy
Shriners Hospitals for Children – Boston

Daniel N. Driscoll, MD, FACS
Division of Plastic, Reconstructive, and Laser Surgery
Shriners Hospitals for Children – Boston

Lisa Gfrerer, MD, PhD
Harvard Plastic Surgery Combined Residency Program

Robert J. Dabek, MD
Research Fellow
Massachusetts General Hospital

This case focuses on the treatment of an 8-year-old male with scars from burn wounds he sustained at the age of 2 that have resulted in areas of scar contracture, stiffness, and hypopigmentation. Watch Dr. Daniel Driscoll perform a scar release, a split-thickness skin graft, a permanent pigment transfer, and fractional CO2 laser resurfacing.