Replantation of Total Avulsed Scalp With Microsurgery: Experience of Eight Cases and Literature Review

Abstract

Successful replantations can achieve the best esthetic and functional results compared with other procedures. Scalp amputations sustained from sharp cuts seem to be quite as common as hair traction injuries. Such amputation injuries were more common in male patients with short hair. The manner of injury often will influence planning during replantation. Even if the amputated scalp was crushed or contaminated, such as those sustained from animal bites, replantation should still proceed, unless a greater contraindication exists.

Total Scalp Replantation

“…Similar findings were encountered in previous reports. 10 Actually, this finding was characteristically confined to the nuchal line of the occiput, which suggests that the tight junctions at the area may have created the resistance against the shearing avulsion forces and thus damage to the mentioned area. This necrotic part is usually circumference of linea nuchea of occipital bone.…”

A succesful replantation of total scalp, forehead, left ear, eyebrows and upper eyelids amputation and 6-year follow-up results

“…[20] Avülse skalpte anastomoz için uygun nitelikte ven bununamadığı durumlarda, skalpten ekstra arterler alıcı venlere anastomoz edilerek venöz drenaj sağlanabilir. [11,21] Bizim olgumuzda her arter için 1 ven anastomozu yapılarak toplamda 3 ven anastomozu yapıldı ve venöz drenajle ilgili bir sorun yaşanmadığı için ek yöntemlere baş-vurulmadı.…”

Technique of Granulation Tissue Genesis from Diploe

“…Adult scalp has a surface Modern Plastic Surgery area of about 800 cm 2 , representing 5% of the total body surface area with a thickness of about 6 mm. Many technics apply to surgery of the scalp when there is large loss of tissue.…”

“…Many technics apply to surgery of the scalp when there is large loss of tissue. Scalp reinsertion microsurgery dominates all scalp surgery techniques in cases of total avulsion [1] [2]. When reinsertion is not possible for several reasons [1], other alternatives are available depending on whether the pericranium is intact or not [3] [4] [5].…”