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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Case Reports · Vol. 12 No. 1-2 (2021)

Staged Pediatric Scalp Reconstruction for Extensive Lacerations with Necrosis Following Agricultural Machinery Injury: A Case Report

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2021
CONTENTSVolume 12Number 1 & 2January - July 2021
Editorial
Birth defects: a challenge of Neonatal surgery
Md Tosaddeque Hossain Siddiqui
01
Original Articles
Comparative Outcomes of the Bishop Koop Procedure and Primary Anastomosis in Jejunoileal atresia
Fatema Sayeed, Md Ashraf Ul Huq, Md Tawhidul Islam, Bipul Bhusan Das, Samiul Hasan
03
Understanding the Unseen Burden of Common Health Problems of School-going Children in Sub-urban Area: Insights from a Single-day Health Programme
Arpita Biswangree, Md Fahadul Islam, Rifah Sanjeedah Tahsin, Rahatil Asyekin Raha, Mustari Nailah Tabassum, Bijita Biswangree, Zarrin Tasnim Anwar, Debjyoti Barua, Tarannum Mahmood, Md Sharif Imam, Tahmina Banu
10
Perspective Determination of the relationship between Bacteriuria and D-J Stent Colonization due to the indwelling of D-J Stent following A-H Pyeloplasty
Md Sharif Imam, Tanvir Kabir Chowdhury, Md Khurshid Alam Sarwar, Md Abdullah Al Farooq
17
Advancement in Paediatric Laparoscopic Surgery: Two Years’ Experience in A Tertiary Level Medical College Hospital in Bangladesh
Md Shahin Reza, Md Samidur Rahman, Elora Afroz Leema, Mashkurul Alam Minar, Mohammad Mahabubul Alam, Umma Fatema
24
Outcomes and Predictors of Ventriculoperitoneal Shunt Failure in Children with Hydrocephalus
Md Delwar Hossain, Ferdous K M N, Rahman A
30
Impact of single dose versus multidose prophylactic use of antibiotics in elective inguinal herniotomy in children: A prospective study
Muhammad Mizanur Rahman Shibli, Mahabur Rahman Sarker, Md Moniruzzaman, S M Noor E Shadid, A K M Mahbub Alam
37
Case Reports
Staged Pediatric Scalp Reconstruction for Extensive Lacerations with Necrosis Following Agricultural Machinery Injury: A Case Report
Aminur Rashid Sangeet, Ashik Ahsan, Kamrul Islam Mamun, Tazin Ahsan
41
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Aminur Rashid SangeetRegistrar, National Institute of Burn and Plastic Surgery, Dhaka
  • Ashik AhsanResident Surgeon (Neurosurgery), Dhaka Medical College
  • Kamrul Islam MamunAssistant Professor, Moynamoti Medical College, Cumilla
  • Tazin AhsanMRCS (Edinburgh)

Keywords

Pediatric Scalp Reconstruction

Abstract

Pediatric scalp injuries caused by agricultural machinery are rare but potentially devastating with long-term implications on craniofacial growth and psychosocial development. These injuries present unique reconstructive challenges due to the scalp’s limited elasticity, robust vascularity and the need to preserve both function and cosmesis in a developing child. This report describes the staged surgical management of a 1.5-year-old boy who sustained extensive scalp lacerations and calvarial fractures following entrapment of scalp hair in a rice-cutting machine. Initial wound closure was followed by partial flap necrosis. Then a secondary procedure involving transposition flap reconstruction and split-thickness skin grafting (STSG) was performed. This case underscores the importance of a systematic, adaptive reconstructive strategy, adherence to the principles of the reconstructive ladder and long-term multidisciplinary follow-up. Psychological support, parental counseling and vigilance for late sequelae were integral components of care.

Journal of Paediatric Surgeons of Bangladesh (2021) Vol. 12 (1 & 2): 41–44

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