Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Florida Health, Gainesville, FL.
J Craniofac Surg. 2022;33(1):e46-e47. doi: 10.1097/SCS.0000000000007897.
Total scalp avulsion is a rare injury that poses a unique reconstructive challenge. Microsurgical replantation is considered the first-line choice; yet anastomotic efforts may be strained to find suitable recipient and target vessels. Concomitant injuries may also delay or hinder operative intervention. These complex scenarios are difficult to navigate and necessitate multidisciplinary input to optimize outcomes. As such, the authors present an illustrative case report of a total scalp avulsion injury that underwent successful microsurgical replantation. This report highlights the novel use of loupe magnification in scalp replantation and reviews technical and clinical nuances that facilitate a favorable reconstruction.
头皮完全撕脱伤是一种罕见的损伤,它带来了独特的重建挑战。显微外科再植被认为是首选治疗方法;然而,吻合血管的过程可能会因为难以找到合适的供区和受区血管而受到限制。同时存在的损伤也可能会延迟或阻碍手术干预。这些复杂的情况很难处理,需要多学科的参与,以优化治疗效果。因此,作者报告了一例成功进行显微外科再植的头皮完全撕脱伤的病例。本报告强调了在头皮再植中使用放大镜的新颖应用,并回顾了促进有利重建的技术和临床细节。