| CASE REPORT |
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| Year : 2020 | Volume
: 53
| Issue : 4 | Page : 156-158 |
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“Drill holes” made on exposed scalp bone promotes secondary intention healing of extended scalp laceration wounds: A Mbabane Government Hospital approach in the Kingdom of Eswatini
Po-Hsun Chou1, Chi-Cheng Tu2
1 Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan
2 Department of Surgery, Taiwan Medical Mission in Eswatini, Taipei, Taiwan
Correspondence Address:
Chi-Cheng Tu
P. O. Box 3160, Mbabane, H100, Kingdom of Swaziland.
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/fjs.fjs_103_19
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Granulation tissue growth over exposed bone may be facilitated by creating fenestrations on the exposed bone. We report the case of a 6-year-old girl with a large-sized scalp laceration (10 cm × 6 cm) with bone exposure (4 cm × 3 cm) due to a road traffic accident in the Kingdom of Eswatini. We treated the wound with saline-soaked gauze dressing and drilled several holes on the exposed bone to enhance secondary healing. The aim of this case report was to provide a successful application of “Drill holes” procedure or trephination of exposed calvarium for the treatment of exposed bone and large-sized scalp lacerations in resource-poor areas, where flaps or more complicated procedures are not feasible.
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