SCALPING

From Big Medical Encyclopedia

SCALPING (English scalp head skin, scalp; lat. to scrape scalpere) — the bruise which is followed by a separation of big sites of an integument. The term is connected with the custom existing at natives of North America to remove a scalp of the won enemy as a trophy; therefore originally it designated only a separation of covers of a calvaria. Then its value extended: began to speak about scalped wounds of a brush, foot, a breast etc. Such damages are most often put with moving parts of various cars if between them the fold of skin or the ends of hair gets. In the latter case (is more often at women) there is extensive S. of the head, and the integument can come off together with a tendinous helmet, having found a periosteum. At the same time the complication of a wound osteomyelitis of bones is possible skulls (see).

Treatment consists in reimplantation (after the corresponding processing) the broken rags if they remained and the more so if keep on rather wide leg (see. Reimplantation ). Operation early (during the first hours) such often happens successful, especially on the head. At impossibility of reimplantation resort to free skin plastics or to change of rags on a leg (see. Skin plastics ). Pilar skin for substitution of defect of a cover of a calvaria with success is taken from a pubis or use the escaped sites of pilar skin of a nape, replacing them by Tirsh's method. As a last resort defect of skin on a calvaria can be closed by the skin transplantation deprived of indumentum. It prevents formation of the extensive, spliced with a periosteum hems, and the cosmetic shortcoming can be compensated by a wig.

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