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[Treatment of a Wide Area of Peeled Scalp Caused by Self-Inflicted Injury]

January 2012

Authors:

Toshiyuki Minamimoto

Hakodate Municipal Hospital

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A 50-year-old woman suffering from schizophrenia self-inflicted a laceration on her head and peeled off a wide area of her scalp by inserting her fingers into the wound. The peeled area of her scalp was divided into a large skin flap and a small piece of free skin. Under general anesthesia, we repositioned the two parts. The large flap of skin was engrafted successfully; however, hair loss was observed in the area of engrafted free skin. We have been following up this patient to observe the progress of hair regrowth.

Initial views from her front (a), right side (b), left side (c) and upper side (d). Whole scalp skin was removed and we can see her skull bone.

After she was anesthetized, we tried to replace her skin in the position whether there was any lack of her skin or not (a). The right side skin became a free graft about of 150 cm 2 (b) and the left side skin became a flap of about 600 cm 2 . There was not a lack of her head skin (c).

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