Fundamental Basis of Scalp Layering Techniques to Protect Against Wound Infection: AÂ Comparative Study Between Conventional and In-to-Out Dissection of the Superficial Temporal Artery

These data suggest that the simple layering technique of the ITO dissection method can protect against contamination from bacteria and reduce postoperative surgical wound problems. Sealing of the galea aponeurotica (first protective barrier), including fibrous septa and loose areolar tissues, including the periosteal layer (second protective barrier), is an important factor to decrease the rate of scalp wound infection.