Replantation of avulsed scalps and secondary aesthetic correction.

Abstract:

:Five patients with avulsed scalps were treated with replantation between 1992 and 1998. All patients were women age 20 to 36 years. The percentage of the avulsed scalp ranged from 50% to 100% of the whole scalp. The vessels chosen for anastomosis were the superficial temporal artery, occipital artery, and superficial temporal vein. A vein graft harvested from the cephalic vein of the forearm was performed on the venous and arterial sides in 1 patient. Two patients experienced complete survival of the replanted scalp. Three patients showed 40%, 50%, and 80% survival areas, with the remaining defects resurfaced as split-thickness skin grafts. Six months later, the scar areas in the last 3 patients were reconstructed with an expansion of the normal or replanted scalp. The follow-up period ranged from 1 to 7 years. In 4 patients a partial return of sensation in the replanted scalp and motor function of the frontalis muscle were observed. All patients were satisfied with the aesthetic results of their surgery.

journal_name

Ann Plast Surg

authors

Cho BC,Lee DH,Park JW,Byun JS,Baik BS

doi

10.1097/00000637-200044040-00002

subject

Has Abstract

pub_date

2000-04-01 00:00:00

pages

361-6

issue

4

eissn

0148-7043

issn

1536-3708

journal_volume

44

pub_type

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