Vacuum-assisted scalp repositioning: a novel temporizing approach to acute sinking skin flap syndrome. Illustrative cases

Evan Courville, Joshua Marquez, Michael Homma, Michael Conley, Georgios P Skandalakis, Peter Shin, James Botros, Christian Ricks · 2023

Read Vacuum-assisted scalp repositioning: a novel temporizing approach to acute sinking skin flap syndrome. Illustrative cases by Evan Courville, Joshua Marquez, Michael Homma, Michael Conley, Georgios P Skandalakis, Peter Shin, James Botros, Christian Ricks (2023) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-10718283.txt.

Description

Evan Courville and co-authors present a stopgap fix for a dangerous skull-surgery complication, where the skin flap sinks and presses on the brain. Their 2023 report covers two patients with acute sinking skin flap syndrome after part of the skull was removed. The standard rescue, rebuilding the skull, cannot always happen at once.

The team paired an external plaster cast with a vacuum wound device to pull the scalp back into place and lift the pressure. One patient improved at once, with symptoms gone within hours. The other developed a silent seizure state, though scans confirmed the repositioning worked in both. The authors pitch the method as a cheap bridge to skull repair, with care in picking patients.

Catalog record

CREATOREvan Courville, Joshua Marquez, Michael Homma, Michael Conley, Georgios P Skandalakis, Peter Shin, James Botros, Christian Ricks
YEAR2023
COLLECTIONPAPERS
FORMATTXT
FILE SIZE14 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC10718283

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