Successful replantation of the scalp with a good aesthetic outcome and return of sensation – a case report and literature
                    update.

Ulatowski, Łukasz; Kaniewska, A

doi:10.1055/s-0044-102305

Cited by 2 publications

(3 citation statements)

References 22 publications

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“…Despite our lack of intervention, the patient was slowly regaining neurological function of her scalp 6 months after replantation. The ability to regain sensation after the replantation of an avulsed scalp has previously been reported to approximately 6 months postoperatively, which is in accordance with our experience from this case 12. In future cases, neurological function should not necessarily be expected and is very difficult to evaluate perioperatively.…”

Section: Discussionsupporting

confidence: 89%

“…The ability to regain sensation after the replantation of an avulsed scalp has previously been reported to approximately 6 months postoperatively, which is in accordance with our experience from this case. 12 In future cases, neurological function should not necessarily be expected and is very difficult to evaluate perioperatively. However, some cases report that neurological function can return.…”

Section: Case Reportmentioning

confidence: 99%

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Microsurgical replantation of a traumatic total scalp avulsion

et al. 2023

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We present a rare case of microsurgical replantation of a total scalp avulsion. A woman in her mid-60s was renovating a tractor when her hair was caught in a column drill resulting in traumatic scalp avulsion. The avulsed scalp involved the eyebrows and the entire hair-covered part of the scalp. The prehospital management and the conservation packing of the scalp was very effective. Microsurgical replantation was achieved with anastomoses of the left superficial temporal artery and one temporal vein on each side. The combination of the prehospital treatment and our university hospital setup made it possible to reattach the scalp with an ischaemia time of approximately 5 hours. A functional and aesthetically pleasing outcome was achieved, and the patient was discharged 6 days postoperatively with a vital scalp and no complaints. Five months postoperatively, she has no sign of alopecia and is regaining sensation and function of the scalp.A woman in her mid-60s was renovating a tractor when her hair was caught in a column drill resulting in traumatic scalp avulsion. The avulsed scalp involved the eyebrows and the entire hair-covered part of the scalp. The prehospital management and the conservation packing of the scalp was very effective.

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Section: Discussionsupporting

confidence: 89%

Section: Case Reportmentioning

confidence: 99%

Microsurgical replantation of a traumatic total scalp avulsion

et al. 2023

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“…Of 704 initial results, 61 studies were selected for data analysis. 1 2 4 5 6 7 8 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 ( Fig. 1 ) Nine studies included sample sizes of five-or-more patients.…”

Section: Resultsmentioning

confidence: 99%

Identifying Factors Affecting Outcomes in Scalp Replantation: A Systematic Review of the Literature

Kotamarti

Heiman

Camargo

et al. 2021

J Reconstr Microsurg

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Introduction Replantation is the ideal treatment in traumatic scalp defects to provide immediate coverage with restoration of hair-bearing skin. However, data are limited to case reports and small case series. Comprehensive analysis of techniques and outcomes is not available. Our aim was to systematically analyze the available literature to better understand management and postoperative outcomes of patients undergoing scalp replantation. Methods A systematic review of the PubMed, Cochrane, and EBSCO databases was performed in October 2019. Search terms included “replantation,” “replant,” “revascularized,” “revascularization,” “avulsion,” and “scalp.” Only papers reporting microvascular replantation of completely avulsed scalps, including case reports, were included. Review articles, non-English language articles, articles discussing nonreplant coverage, incomplete scalp avulsions, and articles discussing delayed scalp replantation were excluded. Data extracted included demographics, percent of scalp affected, mechanism, operative technique, and postoperative outcomes. Statistical analysis was performed using Mann–Whitney U tests, Kruskal–Wallis, and chi-squared tests. Results From a total of 704 initial results, 61 studies were included for analysis comprising 149 scalps. Complete survival was achieved in 54.7%, partial survival in 38.9%, and failure in 6.7%. Total ischemia time greater than 12 hours was associated with complete replant failure. Arterial anastomoses appeared to protect against complete loss. The number of venous repairs, proportion of venous-to-arterial repairs, use of vein grafts, thromboprophylaxis, or intraoperative complications did not affect outcomes. Patients required significant volumes of blood products, which was associated with partial success. Salvage rate after unplanned return to the operating room was 60.0%. Normal hair growth was achieved in all surviving native scalp tissue. Conclusion Scalp replantations, while technically challenging, are the ideal treatment for scalp avulsions. Fortunately, these have high rates of success. And as a focal point of a patient's appearance, this is invaluable in restoration of a sense of normalcy.

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Successful replantation of the scalp with a good aesthetic outcome and return of sensation – a case report and literature update.

Cited by 2 publications

References 22 publications

Microsurgical replantation of a traumatic total scalp avulsion

Microsurgical replantation of a traumatic total scalp avulsion

Identifying Factors Affecting Outcomes in Scalp Replantation: A Systematic Review of the Literature

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