Management of congenital scalp defects in infants / 中华整形外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the management of congenital scalp defects in infants.</p><p><b>METHODS</b>From 1996 to 2008, 6 infants with congenital scalp defects were treated with dressing change, flap transposition, or tissue expansion combined with skull defect reconstruction.</p><p><b>RESULTS</b>Parietal scalp defects in 6 cases were healed after treatment. 5 cases were followed up for 3 months to one year. 2 cases had scalp alopecia in some areas. The scar was inconspicuous in the other 3 cases.</p><p><b>CONCLUSIONS</b>Dressing change is suitable for small scalp defect, while flap transposition should be used for medium defect. For large full-thickness cranial defect, dressing change and tissue expansion should be performed at the first stage, followed by skull defect reconstruction and expanded flap transposition.</p>