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Scalp and Calvarial Injury from Tiger Attacks: An Untouched Realm

Somil Jaiswal , Rohan Digarse , Somil Jaiswal , Manish Jaiswal , Chhitij Srivastava , Anil Chandra , BK Ojha

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Journal of Plastic Surgery and Transplantation 1(1):p 49- 54, . | DOI:
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Rohan Digarse, Somil Jaiswal, Manish Jaiswal et al. Scalp and calvarial injury from tiger attacks: An untouched Realm. Journal of Plastic Surgery and Transplantation. 2020;2(1): 49-54
 

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Abstract

Introduction: Tiger population has been dwindling over years and incidences of tiger attack scalp and calvarial injuries have been reported rarely. These injuries are life threatening and requires combined urgent neurosurgical and plastic surgery intervention. Methods: This study retrospectively assessed cases of tiger attacks admitted in neurosurgery department from January 2016 to September 2019. Clinical, radiological and operative notes of these cases were retrieved from records and analysed. Results: Five patients were treated during the study period. All of them were males. Three patients had Bilateral scalp injury wheres two had unilateral injuries. Three patients had undergone debridement craniectomy and repair of dura and scalp. One patient had to undergo occipital artery based tranpostion flap with split skin grafting. Another patient had to undergo local wound debridement and galeal underscoring for scalp suturing. All patients were doing well at the time of discharge. Conclusion: Scalp and calvarial injury from tiger paw injury are rare and may cause substantial scalp loss along with depressed skull fracture. This type of injury requires team effort with plastic surgery team for flap transposition or skin grafting.

 

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Authors and Affiliatione

  • Somil Jaiswal
    ,
  • Rohan Digarse
    ,
  • Somil Jaiswal
    ,
  • Manish Jaiswal
    ,
  • Chhitij Srivastava
    ,
  • Anil Chandra
    ,
  • BK Ojha
    ,
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Rohan Digarse, Somil Jaiswal, Manish Jaiswal et al. Scalp and calvarial injury from tiger attacks: An untouched Realm. Journal of Plastic Surgery and Transplantation. 2020;2(1): 49-54
 

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Keywords Calvarial injury; Glascow coma scale; Depressed skull fracture; Split skin graft.

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