Topical Honey for Scalp Defects: An Alternative to Surgical Scalp Reconstruction

This case report discusses the use of medical-grade honey as solitary treatment for a large scalp defect due to surgical excision of necrotizing fasciitis. Honey promoted granulation and epithelialization over bare bone, which has been previously undocumented in the literature. We discuss the proposed mechanisms of honey as a wound-healing agent and the evidence for its use, and we propose that honey may be considered a therapeutic option for scalp wounds—especially in patients who are poor surgical candidates.