Abstract：
BACKGROUND: The scalp region represent a common area affected by benignant and malignant skin tumor, and it represents a surgical challenge when it is needed to be reconstructed. The aim of this study is to present our experience with full-thickness scalp skin defects, reconstructed using Matriderm® dermal substitute and split-thickness skin graft (STSG).
METHODS: A retrospective analysis of patients treated for scalp region reconstruction was conducted with 16 patients. All patients underwent the same procedure: scalp full-thickness tumor excision with simultaneous reconstruction with Matriderm® and the application of a split-thickness skin graft in the same surgical time. During follow-ups, the surgical outcome was evaluated by accurate clinical examination of the wound, adopting the Vancouver Scar Scale (VSS).
RESULTS: The outcomes obtained were satisfying: wound healing at the end of the procedures was optimal, grafted skin resulted similar to surrounding tissue, and pigmentation and vascularity showed a decrease in the period between 6 months and 1 follow-up.
CONCLUSIONS: The use of Matriderm® and split-thickness skin grafting for scalp full-thickness defects reconstruction resulted in an optimal, stable, and safe procedure, suitable for elderly patients.
METHODS: A retrospective analysis of patients treated for scalp region reconstruction was conducted with 16 patients. All patients underwent the same procedure: scalp full-thickness tumor excision with simultaneous reconstruction with Matriderm® and the application of a split-thickness skin graft in the same surgical time. During follow-ups, the surgical outcome was evaluated by accurate clinical examination of the wound, adopting the Vancouver Scar Scale (VSS).
RESULTS: The outcomes obtained were satisfying: wound healing at the end of the procedures was optimal, grafted skin resulted similar to surrounding tissue, and pigmentation and vascularity showed a decrease in the period between 6 months and 1 follow-up.
CONCLUSIONS: The use of Matriderm® and split-thickness skin grafting for scalp full-thickness defects reconstruction resulted in an optimal, stable, and safe procedure, suitable for elderly patients.
摘要：
背景：头皮区域是受良性和恶性皮肤肿瘤影响的常见区域，当需要重建时，它代表了一个手术挑战。这项研究的目的是介绍我们在全厚度头皮皮肤缺陷方面的经验，使用Matriderm®真皮替代品和分层厚度皮肤移植物（STSG）进行重建。
方法：对16例接受头皮区域重建治疗的患者进行回顾性分析。所有患者均接受相同的程序：头皮全层肿瘤切除，同时使用Matriderm®进行重建，并在相同的手术时间内应用分层厚度的皮肤移植物。在随访期间,通过准确的伤口临床检查评估手术结果，采用温哥华疤痕量表(VSS)。
结果：获得的结果令人满意：手术结束时伤口愈合最佳，移植皮肤与周围组织相似，在6个月至1次随访期间，色素沉着和血管减少。
结论：使用Matriderm®和裂层植皮修复头皮全层缺损重建，稳定,和安全的程序，适合老年患者。
方法：对16例接受头皮区域重建治疗的患者进行回顾性分析。所有患者均接受相同的程序：头皮全层肿瘤切除，同时使用Matriderm®进行重建，并在相同的手术时间内应用分层厚度的皮肤移植物。在随访期间,通过准确的伤口临床检查评估手术结果，采用温哥华疤痕量表(VSS)。
结果：获得的结果令人满意：手术结束时伤口愈合最佳，移植皮肤与周围组织相似，在6个月至1次随访期间，色素沉着和血管减少。
结论：使用Matriderm®和裂层植皮修复头皮全层缺损重建，稳定,和安全的程序，适合老年患者。
