The aim of the present study was to evaluate to what extent undermining-affects the closing-tension of scalp defects to quantify the surgery-related benefits provided by this procedure. Data were collected by stepwise loading in 10 patients, 20 scalp flaps (obtained by a reversed Y scalp incision), and thee different degrees undermining (1, 5, and 15 cm). The obtained data confirmed the value of undermining to diminish the tension on wound margins when closing a scalp defect. There nas a progressive decrease in tension required to advance the wound edge when the amount of undermining was sequentially increased. Most of this reduction occurred with the 5-cm undermining, although statistically the 15-cm undermining also resulted in a significant decrease in the tension required to close the defect. Mean 83.3- and 92.2 percent reductions of the closing tension were obtained with 5 cm and 15 cm of undermining, respectively, compared with that achieved by the 1-cm undermining with the same width of defect.

Undermining of the scalp: quantitative effects / Raposio, Edoardo; R. E., Nordström; P. L., Santi. - In: PLASTIC AND RECONSTRUCTIVE SURGERY. - ISSN 0032-1052. - 101:(1998), pp. 1218-1222. [10.1097/00006534-199804050-00007]

Undermining of the scalp: quantitative effects.

RAPOSIO, Edoardo;
1998-01-01

Abstract

The aim of the present study was to evaluate to what extent undermining-affects the closing-tension of scalp defects to quantify the surgery-related benefits provided by this procedure. Data were collected by stepwise loading in 10 patients, 20 scalp flaps (obtained by a reversed Y scalp incision), and thee different degrees undermining (1, 5, and 15 cm). The obtained data confirmed the value of undermining to diminish the tension on wound margins when closing a scalp defect. There nas a progressive decrease in tension required to advance the wound edge when the amount of undermining was sequentially increased. Most of this reduction occurred with the 5-cm undermining, although statistically the 15-cm undermining also resulted in a significant decrease in the tension required to close the defect. Mean 83.3- and 92.2 percent reductions of the closing tension were obtained with 5 cm and 15 cm of undermining, respectively, compared with that achieved by the 1-cm undermining with the same width of defect.
1998
Undermining of the scalp: quantitative effects / Raposio, Edoardo; R. E., Nordström; P. L., Santi. - In: PLASTIC AND RECONSTRUCTIVE SURGERY. - ISSN 0032-1052. - 101:(1998), pp. 1218-1222. [10.1097/00006534-199804050-00007]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2312864
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