case_images: PMC10810730_01
case_images: Initial physical examination showed scalp defect, exposed and depressed fractured bone, some bone loss, visible dura layer and necrotic tissue.
case_images: rjad454f1.jpg
case_images: PMC10810730_01_rjad454f1.jpg
case_images: f1
case_images: The initial physical examination was shown in (Fig. 1).
case_images: Pre- and post-debridement, removal of dirty nonviable tissue and decompression of depressed fracture. Some mini plates held the bone fragments securely.
case_images: rjad454f2.jpg
case_images: PMC10810730_01_rjad454f2.jpg
case_images: f2
case_images: Placement of plate screw was also done to manage the depressed fracture of the calvaria (Fig. 2).
case_images: Preoperative condition (A, B) and flap elevation (C, D).
case_images: rjad454f3.jpg
case_images: PMC10810730_01_rjad454f3.jpg
case_images: f3
case_images: A significant scalp defect in the temporo-parieto-occipital region was closed by the plastic surgeon with a local scalp flap incorporating the left superficial temporal artery (Fig. 3).
case_images: Picture of the post flap (A, B) and skin graft procedure (C). The white arrow showed the necrotic tissue which developed later after the surgery.
case_images: rjad454f4.jpg
case_images: PMC10810730_01_rjad454f4.jpg
case_images: f4
case_images: Some soft tissue necrosis was observed during the follow-up and left healed by secondary intention (Fig. 4).
case_images: Clinical photos 10 weeks postoperatively: frontal view (A), superior view (B), right lateral view (C) and posterior view (D).
case_images: rjad454f5.jpg
case_images: PMC10810730_01_rjad454f5.jpg
case_images: f5
case_images: By 10 weeks postoperatively (Fig. 5), the defects were healed and a monthly visit was encouraged to follow up on any complications.