The TEMPO-Mi protocol (trepanation, stimulation, matrix, pressure, optimization, micrograft) for Sequential reconstruction of complex pediatric scalp avulsion

Natasha Chávez-Cruz, Evelyn Zumba-Altamirano, Anthony Mendoza-Agusto, Sergio Guillermo Choco-Salinas, Andrés Rivadeneira-Maldonado · 2026

Read The TEMPO-Mi protocol (trepanation, stimulation, matrix, pressure, optimization, micrograft) for Sequential reconstruction of complex pediatric scalp avulsion by Natasha Chávez-Cruz, Evelyn Zumba-Altamirano, Anthony Mendoza-Agusto, Sergio Guillermo Choco-Salinas, Andrés Rivadeneira-Maldonado (2026) 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-13579140.txt.

Description

Natasha Chávez-Cruz and co-authors report rebuilding the scalp of a six-year-old girl after three Rottweiler dogs tore it away. Extensive scalp loss in children is rare and hard to repair, especially with contamination, damaged membrane over the bone, and bare skull exposed. Standard grafting options narrow quickly in such wounds.

The team followed a staged plan they call TEMPO-Mi, whose steps coax the skull surface to grow granulation tissue first, then accept final coverage. Micrografts completed the closure. Healing and graft take were achieved in a fairly short time. The protocol offers a sequenced recipe for wounds that defeat one-shot reconstruction.

Catalog record

CREATORNatasha Chávez-Cruz, Evelyn Zumba-Altamirano, Anthony Mendoza-Agusto, Sergio Guillermo Choco-Salinas, Andrés Rivadeneira-Maldonado
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE17 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13579140

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