An Algorithm for Reconstruction of Electrical Injuries of the Scalp

July 2022 in “ Plastic & Reconstructive Surgery ”

Asma Khalid, Omar A. Ahmed, Muhammad Jibran Rabbani, Muhammad Saleem, Muhammad Nasir Amin, Abdul Malik Mujahid, Muhammad Younas Mehrose, Moazzam Nazeer Tarar, Farooq Shahzad

scalp reconstruction skin grafts flaps osteomyelitis cranioplasty autologous bone grafts débridement calvarium bone grafts skin flaps

TLDR Thorough cleaning of the skull is key for successful scalp injury reconstruction.

The study focused on reconstructing electrical injuries of the scalp, which were common in developing countries, by proposing a management algorithm. Conducted as a retrospective cohort study, it included 52 patients treated between 2010 and 2016. The treatment involved single-stage débridement and reconstruction using various flaps and grafts, with cranioplasty performed later using autologous bone grafts. Successful soft-tissue reconstruction was achieved in all patients, although three developed osteomyelitis, which was resolved with further treatment. The study concluded that thorough débridement of the calvarium was crucial for successful outcomes.

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