case_images: PMC11407892_01
case_images: Avulsed bluntly lacerated scalp with the exposed skull noted shortly after birth.
case_images: CRIPE2024-8122801.001.jpg
case_images: PMC11407892_01_CRIPE2024-8122801.001.jpg
case_images: fig1
case_images: The frontoparietal flap was turned over and attached to the left occipital region (Figures 1 and 2).
case_images: Schematic representation of the laceration (red line). The wound was circumscribed around the left occipital area.
case_images: CRIPE2024-8122801.002.jpg
case_images: PMC11407892_01_CRIPE2024-8122801.002.jpg
case_images: fig2
case_images: The frontoparietal flap was turned over and attached to the left occipital region (Figures 1 and 2).
case_images: Laceration wound treatment course. (a) The application of adhesive skin-closure strips failed to close the wound and bleeding continued. (b) Mattress sutures were applied, which led to hemostasis.
case_images: CRIPE2024-8122801.003.jpg
case_images: PMC11407892_01_CRIPE2024-8122801.003.jpg
case_images: fig3
case_images: Considering that the scalp was thin and that pulling on it would cause immediate flap necrosis, the laceration was first treated using adhesive skin-closure strips (Figure 3(a)). Plastic surgeons applied 5-0 nylon mattress sutures 7 hours after birth, which briefly suppressed bleeding (Figure 3(b)).
case_images: At 72 h after birth, the flap discoloration was relieved and the skin was not necrotic.
case_images: CRIPE2024-8122801.004.jpg
case_images: PMC11407892_01_CRIPE2024-8122801.004.jpg
case_images: fig4
case_images: At 72 h after birth, flap discoloration was relieved (Figure 4), indicating that blood flow in the area had improved.
case_images: (a) Hair growth from the flap at 5 months after birth. (b) Less hair growth noted on the skin near the transected edge of the flap at 6 years after birth.
case_images: CRIPE2024-8122801.005.jpg
case_images: PMC11407892_01_CRIPE2024-8122801.005.jpg
case_images: fig5
case_images: Hair eventually grew from the flap (Figure 5).