Xu Lei, Zhou Guangliang, Ju Wen, Zhang Yujun, Jin Qianheng, Li Lei, Hou Ruixing, Ju Jihui
Suzhou Ruihua Orthopedic Hospital Suzhou Jiangsu China.
Clin Case Rep. 2024 Dec 12;12(12):e9665. doi: 10.1002/ccr3.9665. eCollection 2024 Dec.
A complete scalp avulsion injury is rare but extremely challenging to treat. Because of the dense blood vessel bundles in the scalp, replantation failure may occur if there is a subcutaneous hematoma. The method of scalp fixation is crucial for replantation to be successful. We successfully treated a total scalp avulsion injury using a modified scalp fixation method, coupled with microsurgical anastomosis, to avoid subcutaneous hematoma effectively and achieved a satisfactory outcome with a follow-up of 9 years postoperatively.
全头皮撕脱伤很少见，但治疗极具挑战性。由于头皮中密集的血管束，如果存在皮下血肿，可能会发生再植失败。头皮固定方法对于再植成功至关重要。我们采用改良的头皮固定方法并结合显微外科吻合术成功治疗了一例全头皮撕脱伤，有效避免了皮下血肿，术后随访9年取得了满意的效果。
