Scalp reconstruction aims to achieve an appropriate appearance and is fundamentally important to the integrity of the skeletal structure to protect the central nervous system. The present work describes the case of a child aged 1 year and 5 months with a total-thickness lesion of the scalp presenting with ischemic areas in the cranial calotte and absence of periosteum after infection. The lesion was urgently debrided, washed with 9% normal saline, and dressed with silver sulfadiazine ointment for 2 days. The patient was subsequently transferred to the surgical center, and multiple perforations were made in the outer table of the skull. A dressing was made with rayon gauze soaked with petrolatum emulsion and removed 7 days after the surgery accompanied by antibiotic administration. Finally, 10 days after surgery, split-thickness skin grafting was performed, and satisfactory aesthetic results were obtained.
Skull; Scalp; Scalp
