NYMC Faculty Publications
Decompressive Craniectomy with Scalp Expansion Graft Using a Temporary Synthetic Skin Substitute in the Pediatric Population: Case Series and Review of the Literature
DOI
10.1007/s00381-019-04494-5
Journal Title
Child's Nervous System : ChNS : official journal of the International Society for Pediatric Neurosurgery
First Page
1319
Last Page
1324
Document Type
Review Article
Publication Date
6-2020
Department
Neurosurgery
Keywords
Brain Edema, Child, Decompressive Craniectomy, Humans, Intracranial Hypertension, Scalp, Skin, Artificial, Treatment Outcome
Disciplines
Medicine and Health Sciences | Pediatrics
Abstract
INTRODUCTION: The use of decompressive craniectomy in children is controversial and often reserved for patients with refractory intracranial hypertension. Following decompression, skin closure in select cases can be challenging due to brain herniation and swelling through the craniectomy defect. In these cases, partial cortical debridement is sometimes performed.
METHODS: We describe two cases in which a synthetic skin substitute was used to facilitate a tension-free closure, rather than performing a partial lobectomy.
RESULTS: At 6-month follow-up, both patients are at preoperative cognitive baseline, with some residual hemiparesis.
DISCUSSION: We believe that use of a synthetic skin substitute for skin closure after decompression is a suitable option for closure of traumatic scalp wounds and may contribute to improved functional outcome in patients with severe intraoperative brain swelling.
Recommended Citation
Cooper, J. B., Kim, M. G., Mohan, A., & Tobias, M. E. (2020). Decompressive Craniectomy with Scalp Expansion Graft Using a Temporary Synthetic Skin Substitute in the Pediatric Population: Case Series and Review of the Literature. Child's Nervous System : ChNS : official journal of the International Society for Pediatric Neurosurgery, 36 (6), 1319-1324. https://doi.org/10.1007/s00381-019-04494-5
