Veitinger AB, Lippert BM, Fiedler LS, et al.
BMJ case reports. Date of publication 2024 Aug 3;volume 17(8):.
1. BMJ Case Rep. 2024 Aug 3;17(8):e261172. doi: 10.1136/bcr-2024-261172.
Resolution of a chronic occipital wound with exposed skull bone with a fish skin
graft: a successful treatment approach.
Veitinger AB(1), Lippert BM(1), Fiedler LS(2).
Author information:
(1)Otorhinolaryngology, Head and Neck Surgery, Plastic Surgery, SLK-Kliniken
Heilbronn GmbH, Heilbronn, Germany.
(2)Heidelberg University Medical Faculty Heidelberg, Heidelberg,
Baden-Wuerttemberg, Germany l.fiedler@gmx.at.
Chronic skin defects in the head, face and neck pose challenges for closure,
especially after multiple surgeries or radiation therapy. We report the case of
a woman in her 70s with a chronic occipital wound following squamous cell
carcinoma resections, resulting in exposed skull bone. Despite various options,
we successfully treated the 4 cm x 5 cm wound with a Kerecis fish skin graft
(FSG), observing significant improvement within a week. The FSG promoted
granulation tissue formation, enabling subsequent full-thickness skin grafting
from the patient's groin. Complete wound closure was achieved within 2 weeks,
indicating FSG's efficacy in complex wound management. Our experience highlights
FSG's potential as a valuable tool in wound healing and reconstruction,
particularly in challenging cases involving the head and neck.
© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and
permissions. Published by BMJ.
DOI: 10.1136/bcr-2024-261172
PMID: 39097322 [Indexed for MEDLINE]
Conflict of interest statement: Competing interests: None declared.
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