Integra Scalp Reconstruction: Addressing a Full-Thickness Scalp Defect with Exposed Calvarium Along Vertex in an Elderly Immunocompromised Patient

1. Introduction

2. Surgical Approach and Wound Preparation

1. Scrape Away Granulation Tissue
2. Clean Skin Edges
3. Drill Exposed Bone to Reduce Bacterial Biofilm and to Deepen Resection Margin
4. Measure Wound Dimensions

3. Application of Integra Bilayer Wound Matrix

1. Suture the Integra Graft and Ensure it is in Full Contact with the Underlying Bone

4. Secure Matrix with Bolster