Using a combination therapy to combat scalp necrosis: a case report
Abstract 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 presentati...
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doaj-464ef980d1434e5ea94f6f6199287ed52020-11-25T03:49:15ZengBMCJournal of Medical Case Reports1752-19472020-08-011411510.1186/s13256-020-02450-5Using a combination therapy to combat scalp necrosis: a case reportKazem Hajmohammadi0Roghayeh Esmaeili Zabihi1Kamran Akbarzadeh2Naser Parizad3Imam Khomeini Teaching Hospital, Urmia University of Medical Sciences, Imam Khomeini HospitalDepartment of Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical SciencesDepartment of Medical Entomology and Vector Control, School of Public Health, Tehran University of Medical SciencesPatient Safety Research Center, Faculty of Nursing and Midwifery, Nursing and Midwifery FacultyAbstract 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.http://link.springer.com/article/10.1186/s13256-020-02450-5Maggot debridement therapyNegative-pressure wound therapyAmniotic membrane graftingScalpNecrosisDiabetes mellitus |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kazem Hajmohammadi Roghayeh Esmaeili Zabihi Kamran Akbarzadeh Naser Parizad |
spellingShingle |
Kazem Hajmohammadi Roghayeh Esmaeili Zabihi Kamran Akbarzadeh Naser Parizad Using a combination therapy to combat scalp necrosis: a case report Journal of Medical Case Reports Maggot debridement therapy Negative-pressure wound therapy Amniotic membrane grafting Scalp Necrosis Diabetes mellitus |
author_facet |
Kazem Hajmohammadi Roghayeh Esmaeili Zabihi Kamran Akbarzadeh Naser Parizad |
author_sort |
Kazem Hajmohammadi |
title |
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_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_sort |
using a combination therapy to combat scalp necrosis: a case report |
publisher |
BMC |
series |
Journal of Medical Case Reports |
issn |
1752-1947 |
publishDate |
2020-08-01 |
description |
Abstract 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. |
topic |
Maggot debridement therapy Negative-pressure wound therapy Amniotic membrane grafting Scalp Necrosis Diabetes mellitus |
url |
http://link.springer.com/article/10.1186/s13256-020-02450-5 |
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