Clinical profile and management of scalp and calvarial defects in Kashmir
Abstract
Introduction: The defects of the scalp and calvarium pose a potential threat to the underlying brain. These defects may result from trauma, thermal or electrical burns, resection of benign or malignant tumors, infections, osteoradionecrosis, or congenital lesions.
Aims and Objectives: Analysis of various scalp defects and their management.
Methods and materials: A total of 94 patients were included in the study from 2005-2014. Sixty four patients were in the retrospective group and thirty patients were in the prospective group.
Results: Majority of the patients in our study were young and middle age group and this group of patients were mostly affected by bear mauls, electrical burns or vehicular accidents. Commonest form of reconstruction in scalp defects was grafting followed by flap cover and expanders.
Conclusion: Scalp and calvarial defects are caused by wide variety of aetiologies but bear maul form a significant proportion of patients in our series and more than 40% of free flaps in our series were done for these bear maul defects.This depicts the severity of injury by bear mauls, which takes a significant portion of our time and effort to deal and manage these patients.
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