Sadove A M, Moore T S, Eppley B L
Plastic Surgery Section, Indiana University Medical Center, Indianapolis 46202-5200.
J Reconstr Microsurg. 1990 Jul;6(3):223-7. doi: 10.1055/s-2007-1006822.
A case of successful replantation of a total scalp avulsion, including both ears and one eyebrow, is presented with bilateral anastomoses to the superficial temporal vessels. While over 90 percent of the replant survived, partial loss of occipital and posterior neck skin and the inferior half of the left ear occurred. The patient subsequently required additional procedures, including skin grafting, scar revisions, and staged ear reconstructions. Thus, while microsurgery often provides the only hope for tissue salvage, there is a frequent need for additional revisions and aesthetic adjustment of portions of the replanted tissue.
本文报道了一例全头皮撕脱伤成功再植的病例，包括双耳和一侧眉毛，通过双侧颞浅血管吻合实现再植。虽然超过90%的再植组织存活，但枕部和后颈部皮肤部分缺失，左耳下半部分缺损。患者随后需要进行额外的手术，包括植皮、瘢痕修复和分期耳部重建。因此，尽管显微外科手术常常是组织挽救的唯一希望，但经常需要对再植组织的部分进行额外的修复和美学调整。
