Skin-stretching device shows promise for closing large scalp wounds - Newswise

Newswise — October 11, 2022 – A new, creative and innovative, minimally invasive skin-stretching instrumentality provides a promising alternate for surgical attraction of ample scalp defects, reports a insubstantial successful The Journal of Craniofacial Surgery. The journal, nether the guidance of Editor-in-Chief Mutaz B. Habal, MD, FRCSC, is published successful the Lippincott portfolio by Wolters Kluwer.

For galore patients with scalp defects, the comparatively elemental skin-stretching method whitethorn debar the request for analyzable tegument flap oregon graft procedures oregon prolonged healing times – with bully functional and cosmetic results and a debased complication rate, according to the method study by Peng Chen, PhD, and colleagues of Chongqing University Central Hospital, China

'Innovative and efficient' methods for treating ample scalp defects

For craniofacial, maxillofacial, pediatric, and big integrative surgeons, scalp wounds tin airs a hard reconstructive challenge. For defects that cannot beryllium closed directly, accepted methods see dressing changes oregon tegument grafts oregon flaps. These procedures person important disadvantages, including agelong healing times oregon analyzable operations with wide anesthesia.  

Various skin-stretching devices person been successfully utilized to dainty tegument and brushed insubstantial defects successful different types of the body. However, fewer studies person examined skin-stretching approaches for the scalp area.

Dr. Chen and colleagues study their acquisition with a caller benignant of skin-stretching device, called EASApprox®, for ample scalp defects. Designed for the unsocial characteristics of the scalp tissue, the EASApprox instrumentality enables the surgeon to mildly agelong the tegument connected either broadside of scalp defects.

Over 1 year, the researchers utilized the EASApprox instrumentality to negociate scalp defects successful 12 patients. The origin of the scalp wounds was unit ulcers successful 6 patients, avulsion trauma successful 3, and poorly healed incisions successful 3. Each diligent underwent 3 to 5 stretching cycles. In each cycle, hostility of nary much than 3 kilograms (about 6.5 pounds) was applied for 4 minutes, past released for 1 minute. Procedures were performed utilizing section anesthesia, with an mean full operating clip of astir 45 minutes.

In 10 patients, the stretching process provided capable tegument for the wounds to beryllium closed straight utilizing sutures. In the different 2 cases, the wounds were allowed to heal gradually, with regular dressing changes. The scalp defects successfully healed successful 11 of 12 cases, with an mean healing clip of astir 2 weeks. The remaining diligent experienced complications owed to infection, related to immobility and mediocre nutrition.

Evaluation of last outcomes showed bully tegument colour and elasticity, with acceptable scarring. Through 3 months' follow-up, determination were nary superior complications specified arsenic coiled tearing oregon necrosis (tissue death). None of the patients reported problems with tegument pain, numbness, oregon different discomfort successful the treated area.

Dr. Chen and colleagues stock method details connected their usage of the EASApprox device, including a video demonstrating their method successful a diligent with a scalp defect owed to a unit ulcer. The researchers stress the request for further objective and preclinical studies of this "innovative and businesslike method." In the meantime, they conclude, "treatment [using the] skin-stretching instrumentality was effectual for scalp defect and has the advantages of convenient operation, acceptable functional results, without terrible complications."

Click present to work “Application of Skin-stretching Device for Closing Scalp Defect“ DOI: 10.1097/SCS.0000000000008856

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About The Journal of Craniofacial Surgery

The Journal of Craniofacial Surgery serves arsenic a forum of connection for each those progressive successful craniofacial and maxillofacial surgery. Coverage ranges from applicable aspects of craniofacial country to the basal subject that underlies surgical practice. Affiliates see 14 large specialty societies astir the world, including the American Association of Pediatric Plastic Surgeons, the American Academy of Pediatrics Section of Pediatric Plastic Surgery, the American Society of Craniofacial Surgeons, the American Society of Maxillofacial Surgeons, the Argentine Society of Plastic Surgery Section of Pediatric Plastic Surgery, the Asian Pacific Craniofacial Association, the Association of Military Plastic Surgeons of the U.S., the Brazilian Society of Craniofacial Surgeons, the European Society of Craniofacial Surgery, the International Society of Craniofacial Surgery, the Japanese Society of Craniofacial Surgery, the Korean Society of Craniofacial Surgery, the Thai Cleft and Craniofacial Association, and the World Craniofacial Foundation.

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