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Using a combination therapy to combat scalp necrosis: a case report

BACKGROUND: Chronic nonhealing wounds are very expensive to treat and debilitating, and they reduce health-related quality of life. Scalp necrosis is very rare due to its rich vascularity. However, any post-traumatic wounds with secondary infection can lead to scalp necrosis. CASE PRESENTATION: We r...

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Autores principales: Hajmohammadi, Kazem, Esmaeili Zabihi, Roghayeh, Akbarzadeh, Kamran, Parizad, Naser
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7439622/
https://www.ncbi.nlm.nih.gov/pubmed/32814571
http://dx.doi.org/10.1186/s13256-020-02450-5
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author Hajmohammadi, Kazem
Esmaeili Zabihi, Roghayeh
Akbarzadeh, Kamran
Parizad, Naser
author_facet Hajmohammadi, Kazem
Esmaeili Zabihi, Roghayeh
Akbarzadeh, Kamran
Parizad, Naser
author_sort Hajmohammadi, Kazem
collection PubMed
description BACKGROUND: Chronic nonhealing wounds are very expensive to treat and debilitating, and they reduce health-related quality of life. Scalp necrosis is very rare due to its rich vascularity. However, any post-traumatic wounds with secondary infection can lead to scalp necrosis. CASE PRESENTATION: We report a case of a 77-year-old Azerbaijani man with a history of diabetes who had a car accident and sustained a scalp wound. He underwent reconstructive surgery for the scalp wound. The wound became infected, and scalp necrosis developed following the surgery. There was no progress in wound healing in spite of conventional wound therapy. We combined maggot debridement therapy with negative-pressure wound therapy and amniotic membrane grafting for 7 months. Necrotic tissues began to be eliminated after the second use of larva therapy, and the wound became free of necrotic tissues with clear increase of granulated tissues after four treatments with maggot debridement therapy. Then, we applied negative-pressure wound therapy and amniotic membrane grafting to accelerate wound healing and improve wound closure. The patient’s scalp wound recovered well, and he was discharged to home in good condition. CONCLUSIONS: Medical and wound care teams can benefit from this combination therapy when dealing with nonhealing necrotic wounds.
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spelling pubmed-74396222020-08-24 Using a combination therapy to combat scalp necrosis: a case report Hajmohammadi, Kazem Esmaeili Zabihi, Roghayeh Akbarzadeh, Kamran Parizad, Naser J Med Case Rep Case Report BACKGROUND: Chronic nonhealing wounds are very expensive to treat and debilitating, and they reduce health-related quality of life. Scalp necrosis is very rare due to its rich vascularity. However, any post-traumatic wounds with secondary infection can lead to scalp necrosis. CASE PRESENTATION: We report a case of a 77-year-old Azerbaijani man with a history of diabetes who had a car accident and sustained a scalp wound. He underwent reconstructive surgery for the scalp wound. The wound became infected, and scalp necrosis developed following the surgery. There was no progress in wound healing in spite of conventional wound therapy. We combined maggot debridement therapy with negative-pressure wound therapy and amniotic membrane grafting for 7 months. Necrotic tissues began to be eliminated after the second use of larva therapy, and the wound became free of necrotic tissues with clear increase of granulated tissues after four treatments with maggot debridement therapy. Then, we applied negative-pressure wound therapy and amniotic membrane grafting to accelerate wound healing and improve wound closure. The patient’s scalp wound recovered well, and he was discharged to home in good condition. CONCLUSIONS: Medical and wound care teams can benefit from this combination therapy when dealing with nonhealing necrotic wounds. BioMed Central 2020-08-20 /pmc/articles/PMC7439622/ /pubmed/32814571 http://dx.doi.org/10.1186/s13256-020-02450-5 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Hajmohammadi, Kazem
Esmaeili Zabihi, Roghayeh
Akbarzadeh, Kamran
Parizad, Naser
Using a combination therapy to combat scalp necrosis: a case report
title Using a combination therapy to combat scalp necrosis: a case report
title_full Using a combination therapy to combat scalp necrosis: a case report
title_fullStr Using a combination therapy to combat scalp necrosis: a case report
title_full_unstemmed Using a combination therapy to combat scalp necrosis: a case report
title_short Using a combination therapy to combat scalp necrosis: a case report
title_sort using a combination therapy to combat scalp necrosis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7439622/
https://www.ncbi.nlm.nih.gov/pubmed/32814571
http://dx.doi.org/10.1186/s13256-020-02450-5
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