Scalp Avulsion Injuries and Replantation
| Autor: | Raja Tiwari, Nitin Kumar Kashyap, Shashank Chauhan, Maneesh Singhal, Raj Manas |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Microsurgery medicine.medical_specialty Esthetics medicine.medical_treatment Poison control 030230 surgery Anastomosis 03 medical and health sciences 0302 clinical medicine Amputation Traumatic medicine.artery medicine Humans Retrospective Studies Surgical team Scalp business.industry Anastomosis Surgical Middle Aged Plastic Surgery Procedures Superficial temporal artery Temporal Arteries Surgery medicine.anatomical_structure Replantation 030220 oncology & carcinogenesis Deep temporal arteries Female business Artery |
| Zdroj: | Annals of Plastic Surgery. 84:178-182 |
| ISSN: | 1536-3708 0148-7043 |
| DOI: | 10.1097/sap.0000000000002005 |
| Popis: | Scalp avulsion injuries are usually attributed to entrapment of long hair or clothing in agricultural or industrial machinery or traffic accidents. Though rare, these injuries may be dangerous, and resulting cosmetic defect and alopecia lead to social stigma and poor self-esteem. Early intervention in the form of microvascular repair and replantation prevent morbidity and improve outcome. In this case series, we have discussed 3 cases of scalp replantation, 2 complete and 1 partial. Immediate microvascular reconstruction was planned in each case. Single surgical team approach was followed, vessels were identified and operated under an operative microscope. No vein grafts were used. Operative outcome was good, and scalp healed well. Cosmetic outcome was excellent, and there was no need for secondary revisions or use of tissue expanders. Immediate referral of such cases to institutes with facility for microvascular repair is recommended to reduce ischemia time. Superficial temporal artery is the first choice for microvascular repair in scalp replants, and a single artery anastomosis is sufficient to perfuse the entire scalp. Deep temporal artery is a viable alternative in cases where repair with superficial temporal vessels will require use of vein graft, cutting short operative time and associated complications. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|