Total Scalp Replantation: Surgical Tricks and Pitfalls
| Autor: | Serdar Nasir, Adnan Erdem, Mehmet Veli Karaaltin |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Microsurgery medicine.medical_treatment Vein graft Surgical methods Veins medicine Humans Child Scalp integumentary system business.industry Anastomosis Surgical General Medicine Skin Transplantation Plastic Surgery Procedures Surgery Temporal Arteries medicine.anatomical_structure Otorhinolaryngology Replantation Tissue necrosis Skin grafting Temporal artery Female business |
| Zdroj: | The Journal of craniofacial surgery. 26(4) |
| ISSN: | 1536-3732 |
| Popis: | BACKGROUND Two patients were successfully operated on for total scalp avulsions. METHODS Ages were between 11 and 35 years, and both patients were female. Bilateral temporal artery and veins were used as the recipient pedicles. Interpositional vein graft harvested from the left forearm was used in 1 patient. No nerve repair was performed. RESULTS The scalp was successfully replanted in both cases. Venous congestion and arterial insufficiency were observed in 1 patient. Successful revision of the vascular anastomosis was performed. Total necrosis of the upper helical rim was observed in 1 patient. A mean size of 3 × 3 cm of tissue necrosis was observed in the occipital region of all patients. One patient was treated with split-thickness skin grafting, whereas the other one was left for secondary healing. CONCLUSIONS The "replace like tissue with like tissue" represents the philosophy in replantation surgery. Although reconstructive surgeries imply advanced surgical methods, scalp replantation remains the only ideal surgical modality to create an embellishing natural-looking hair-bearing scalp. In this article, we present some tricks and pitfalls of total avulsed scalp replantation as well as our skills and literature review. |
| Databáze: | OpenAIRE |
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