Application of superficial ultrasonography in diagnosing and guiding management of a refractory scalp wound complicated by epidural abscess
Year: 2025
Type: article
Study design: Case Report
Abstract: A middle-aged patient presented with persistent purulent discharge from a scalp incision five years after undergoing craniotomy with artificial dura mater implantation. The wound showed no significant improvement despite a month of systemic antibiotic therapy and local debridement. Subsequent superficial ultrasonography revealed complete separation of the artificial dura mater implant area from the surrounding flap tissue, with a loss of local blood supply. Based on these findings, the artificial dura mater was surgically removed, and a free skin flap transplantation was performed to successfully cover the wound. The wound was well-healed at the 10-month postoperative follow-up.
Authors: Yu LING, Hongyang HU, Gang XIANG, Panpan LYU
Institutions: Sir Run Run Shaw Hospital, Zhejiang University
Language: English
Subfield: Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4413969992