%0 Journal Article
%T Scalp Reconstruction Using Integra, an Alternative to Free Tissue Transfer¡ªCase Report
%A Victoria Fung
%A Richard L. Chalmers
%A Jenny L. C. Geh
%J Open Access Library Journal
%V 1
%N 5
%P 1-5
%@ 2333-9721
%D 2014
%I Open Access Library
%R 10.4236/oalib.1100747
%X We present a case of scalp reconstruction using Integra<sup>&reg;</sup> and split skin grafting after extensive excision of melanoma in a previously irradiated field. Radical resection of malignancy and application of Integra<sup>&reg;</sup>, a dermal substitute, was performed. Following histological confirmation of complete excision, a split-thickness skin graft (SSG) was applied. After 14 months the patient remains fully healed and without recurrence. The 2-stage use of Integra<sup>&reg;</sup> and SSG is useful in reconstructing large scalp defects¡ªit produces an acceptable aesthetic outcome and avoids the need for complex free flap surgery.
%K Irradiated Scalp
%K Reconstruction
%K Integra
%K Resection
%K Melanoma
%K Dermal Substitute
%U http://www.oalib.com/paper/3099382