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  • 1. Introduction
  • 2. Surgical Approach and Wound Preparation
  • 3. Application of Integra Bilayer Wound Matrix
  • 4. Secure Matrix with Bolster
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Integra Scalp Reconstruction: Addressing a Full-Thickness Scalp Defect with Exposed Calvarium Along Vertex in an Elderly Immunocompromised Patient

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Cheryl Yu, MD1; Derek Sheen, MD2; Katherine M. Yu, MD1; Alyssa N. Calder, MD1; Christopher J. Kandl, MD1; Thomas Lee, MD, FACS1
1Virginia Commonwealth University Medical Center
2University of Texas Southwestern Medical Center

Procedure Outline

  1. Scrape Away Granulation Tissue
  2. Clean Skin Edges
  3. Drill Exposed Bone to Reduce Bacterial Biofilm and to Deepen Resection Margin
  4. Measure Wound Dimensions
  1. Suture the Integra Graft and Ensure it is in Full Contact with the Underlying Bone