Dural reconstruction of a class IV calvarial burn with decellularized human dermis

被引:25
作者
Barret, JP [1 ]
Dziewulski, P [1 ]
McCauley, RL [1 ]
Herndon, DN [1 ]
Desai, MH [1 ]
机构
[1] Shriners Burn Hosp, Galveston, TX 77550 USA
关键词
burns; calvaria; dura; brain;
D O I
10.1016/S0305-4179(99)00018-2
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Calvarial burns involving the brain (Class IV) are reported to be rare. They represent a treatment challenge. Wound coverage can be accomplished with serial debridement of bone and grafting over granulating tissue, local flaps and free tissue transfer. The former techniques are often not feasible in the young infant. We present a successful case of a six-week-old female patient affected of full thickness burns involving the skull and brain. The bone, dura mater and superficial brain were debrided and the defect covered with AlloDerm(R) and split thickness grafts. The area engrafted completely and no complications or CSF leak occurred. An acellular human allogeneic dermis (AlloDerm(R)) can be successfully used to replace dura mater in burn patients. (C) 1999 Elsevier Science Ltd and ISBI. All rights reserved.
引用
收藏
页码:459 / 462
页数:4
相关论文
共 8 条
[1]   OPERATIVE TREATMENT OF DEEP BURNS OF THE SCALP AND SKULL [J].
BIZHKO, IP ;
SLESARENKO, SV .
BURNS, 1992, 18 (03) :220-223
[2]  
HUNT J, 1983, ARCH SURG-CHICAGO, V118, P621
[3]   USE OF VASCULARIZED FAT FROM THE RECTUS-ABDOMINIS MYOCUTANEOUS FREE FLAP TERRITORY TO SEAL THE DURA OF BASICRANIAL TUMOR RESECTIONS [J].
IZQUIERDO, R ;
ORIGITANO, TC ;
ALMEFTY, O ;
LEONETTI, JP ;
ANDERSON, DE ;
REICHMAN, OH ;
SEKHAR, LN ;
SASAKI, CT .
NEUROSURGERY, 1993, 32 (02) :192-197
[4]   CRANIAL COVERAGE INVOLVING SCALP, BONE AND DURA USING FREE INFERIOR EPIGASTRIC FLAP [J].
MIYAMOTO, Y ;
HARADA, K ;
KODAMA, Y ;
TAKAHASHI, H ;
OKANO, S .
BRITISH JOURNAL OF PLASTIC SURGERY, 1986, 39 (04) :483-490
[5]   POSTERIOR-FOSSA DURAPLASTY IN CHILDREN - REMARKS ON SURGERY AND CLINICAL AND CT FOLLOW-UP [J].
PARIZEK, J ;
SERCL, M ;
MICHL, A ;
MERICKA, P ;
NEMECEK, S ;
NEMECKOVA, J ;
JAKUBEC, J .
CHILDS NERVOUS SYSTEM, 1994, 10 (07) :444-449
[6]   Management of massive calvarial exposure in young children [J].
Sheridan, RL ;
Choucair, RJ ;
Donelan, MB .
JOURNAL OF BURN CARE & REHABILITATION, 1998, 19 (01) :29-32
[7]  
Tobin HA, 1998, J ORAL MAXIL SURG, V56, P722, DOI 10.1016/S0278-2391(98)90805-9
[8]   USE OF AN ACELLULAR ALLOGRAFT DERMAL MATRIX (ALLODERM) IN THE MANAGEMENT OF FULL-THICKNESS BURNS [J].
WAINWRIGHT, DJ .
BURNS, 1995, 21 (04) :243-248