Borenstein A, Yaffe B, Seidman D S, Tsur H
Department of Plastic Surgery, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Isr J Med Sci. 1990 Aug;26(8):442-5.
We describe our experience with two patients in whom total avulsion of the scalp occurred. Successful replantation was carried out by microvascular surgery, with 90 and 95% survival of the scalp. Normal hair regrowth and ability to raise the eyebrows was achieved in both cases. A single superficial temporal artery was anastomosed, providing excellent perfusion of the entire scalp. Microvascular replantation should be attempted with all scalp avulsions, regardless of appearance and mechanism of injury. The patient must be transferred to a medical center with comprehensive microvascular surgery capabilities. The avulsed scalp should be cooled to 4 degrees C immediately, but prolonged ischemia time does not preclude a successful result.
我们描述了两例头皮完全撕脱患者的治疗经验。通过微血管手术成功进行了再植，头皮存活率分别为90%和95%。两例患者均实现了正常头发生长和抬眉功能。吻合了单一的颞浅动脉，为整个头皮提供了良好的灌注。对于所有头皮撕脱伤，无论其外观和损伤机制如何，都应尝试进行微血管再植。患者必须被转至具备全面微血管手术能力的医疗中心。撕脱的头皮应立即冷却至4摄氏度，但较长的缺血时间并不排除获得成功的结果。
