Sakai S, Soeda S, Ishii Y
Unit of Plastic Surgery, University of Tsukuba, Ibaraki, Japan.
Ann Plast Surg. 1990 Apr;24(4):350-3. doi: 10.1097/00000637-199004000-00009.
We present a patient who underwent successful replacement of a large avulsed scalp with microvascular anastomosis of one artery and three veins. The left occipital artery in the avulsed scalp and a frontal branch of a right superficial temporal artery in the recipient forehead were anastomosed. Three veins in the occipital area in the avulsed scalp were anastomosed via vein grafts to three veins in the frontal area, respectively. For successful replacement, the selection of the vessels depends on each individual case. To give easy anastomosis, a good cosmetic result, and a comfortable postoperative period, it is not always necessary to reconstruct a previously normal anatomical position.
我们报告一例患者，其通过一条动脉和三条静脉的微血管吻合成功替换了大面积撕脱的头皮。将撕脱头皮中的左枕动脉与受区前额的右颞浅动脉额支进行吻合。撕脱头皮枕部的三条静脉分别通过静脉移植与前额部的三条静脉进行吻合。为了成功进行替换，血管的选择取决于每个具体病例。为了便于吻合、获得良好的美容效果以及术后恢复舒适，并不总是需要重建先前的正常解剖位置。
