Reconstruction of a large scalp defect using a subcutaneous expander in a patient with the consequences of a cranio-brain injury and combined treatment of a head tumor

The features of the treatment a patient with traumatic brain injury after radiation therapy were highlighted. It was demonstrated need for choose phased combined pathology (cancer skin disease, injury, wound healing course therapy). A significant defect, damage to tissues this area, and presence infection did not allow solve problem at once, so method choice sequential staged treatment. importance patient’s psycho-emotional state in process shown. Since pre-sence concomitant pathology, age patient, repeated surgical interventions over relatively short period time, infectious complications previous stages, led depressed which affected final result refuse plastic surgery skull defect. authors note involve psychotherapist recovery improve patients possibility conducting stage underlying pathology.