%0 Journal Article
%T Reconstruction of a large scalp defect by the sequential use of dermal substitute, self-filling osmotic tissue expander and rotational flap
%A Wollina Uwe
%A Bayyoud Yousef
%J Journal of Cutaneous and Aesthetic Surgery
%D 2010
%I Medknow Publications
%X Large scalp defects pose a challenge for the surgeon. Here, we present a 31-year-old male patient with a soft tissue defect on the temple with exposed bone. To allow reconstruction, we placed a self-filling osmotic expander in the subgaleal pocket for 12 weeks. The final volume of the tissue expander was 300 mL. In the last step, a rotational flap was created after removal of the tissue expander from its pocket. Thereby, a tension-free suturing was possible. The post-surgical healing was uncomplicated. Osmotic tissue expanders are a valuable tool for the closure of large tissue defects without the necessity of repeated filling procedures.
%K Artificial dermal matrix
%K large scalp defects
%K self-filling osmotic expander
%U http://www.jcasonline.com/article.asp?issn=0974-2077;year=2010;volume=3;issue=2;spage=106;epage=110;aulast=Wollina