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Case Reports
. 2010 Fall;18(3):112-5.

Total scalp avulsion with microvascular reanastomosis: A case report and literature review

Mathew A Plant  1 , Jeffrey Fialkov
Affiliations
Case Reports

Total scalp avulsion with microvascular reanastomosis: A case report and literature review

Mathew A Plant et al. Can J Plast Surg. 2010 Fall.

Abstract
in English, French

Total scalp avulsion is a rare but potentially devastating injury that when treated (following a few basic principles) can have very good reconstructive results. The present article reviews the current literature and describes the steps involved in the successful replantation of a complete avulsed scalp of a 33-year-old woman. To the authors' knowledge, the present case regarding replantation of a complete avulsed scalp using only a single artery is the first to be described in the Canadian literature.

L’avulsion totale du cuir chevelu est un traumatisme rare au potentiel dévastateur qui, lorsqu’elle est traitée conformément à quelques principes fondamentaux, peut donner de très bons résultats en chirurgie de reconstruction. Le présent article contient une analyse des publications à jour et décrit les étapes utilisées pour réimplanter avec succès une avulsion complète du cuir chevelu chez une femme de 33 ans. À la connaissance des auteurs, le présent cas portant sur la réimplantation d’une avulsion complète du cuir chevelu au moyen d’une seule artère est le premier à être décrit dans les publications canadiennes.

Keywords: Scalp avulsion; Scalp replantation.

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Figures

Figure 1)
Figure 1)
Avulsed scalp flap on side table before preparation for replantation
Figure 2)
Figure 2)
Anterior, left and right lateral views of the zone of injury
Figure 3)
Figure 3)
Microvascular reanastomoses of the right superficial temporal artery and vein
Figure 4)
Figure 4)
Nine-month postoperative results showing area of alopecia on occiput, and eyebrow elevation demonstrating frontalis function
See this image and copyright information in PMC

References

    1. Yin JW, Matsuo JMS, Hsieh CH, et al. Replantation of total avulsed scalp with microsurgery: Experience of eight cases and literature review. J Trauma. 2008;64:796–802. - PubMed
    1. Ozek C, Guner U, Bilkay U, Alper M, Akin Y, Cagdas A. Superficial scalp necrosis after replantation. Ann Plast Surg. 2001;46:197–8. - PubMed
    1. Borenstein A, Yaffe B, Seidman DS, Tsur H. Microsurgical replantation of two totally avulsed scalps. Isr J Med Sci. 1990;26:442–5. - PubMed
    1. Kaplan HY, Yaffe B, Borenstein A. Single artery replantation of totally avulsed scalp. Injury. 1993;24:488–90. - PubMed
    1. Ohara-Speert M, Mullaly SG. Nursing Care of the patient with a complete scalp avulsion. J Emerg Nurs. 1996;22:552–9. - PubMed

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