Extensive full-thickness burn injury of the scalp involving the skull is a challenge to reconstruct. Here, the authors report a case of a 6-year old girl who suffered extensive flame burn injury involving a scalp defect of 1,5% total body surface area. After necrosectomy, full table damage of the skull was observed with a partially exposed dura mater. Neurosurgical consultation was necessary to accomplish a vital wound bed. Subsequently, in the absence of enough adequate tissue available for flap surgery reconstruction, reconstruction was performed by using a bilayer Integra Dermal Regeneration Template (IDRT) resulting in a lasting and stable coverage of the defect. This is the first case-report describing application of IDRT on a full-thickness scalp and skull defect with exposed dura mater in a child. Our results are encouraging and demonstrate that Integra can be used in a child to successfully cover exposed dura when no viable skull remains.
de Haas, L. E. M., Gardien, K. L. M., van Trier, A. J. M., Vloemans, A. F. P. M., & Buis, D. R. (2019). The use of integra in extensive full-thickness scalp burn involving the skull in a child. Journal of Craniofacial Surgery, 30(3), 888-890. https://doi.org/10.1097/SCS.0000000000005375