Buncke H J, Rose E H, Brownstein M J, Chater N L
Plast Reconstr Surg. 1978 May;61(5):666-72. doi: 10.1097/00006534-197805000-00002.
Two cases of immediate replantation of avulsed scalps by microvascular anastomosis are presented. This method of treatment seems to offer significant economic, social, and psychological advantages over split-skin grafting of the calvarium, or other presently used treatments. The need for secondary reconstructive procedures after a successful replantation is minimal, or nil. The mechanism of scalping is reviewed, and it is related anatomically to the structure of the galea aponeurotica. Specific recommendations are made regarding the immediate care of the avulsed scalp and the denuded calvarium, the value of a team approach in replantation, and various technical aspects of the procedure and postoperative management. The more frequent use of interpositional vein grafts is urged.
本文介绍了两例通过微血管吻合进行头皮撕脱即刻再植的病例。与颅骨植皮或目前使用的其他治疗方法相比，这种治疗方法似乎具有显著的经济、社会和心理优势。成功再植后二次重建手术的需求极少或根本不需要。本文回顾了头皮撕脱的机制，并从解剖学角度将其与帽状腱膜的结构相关联。针对撕脱头皮和裸露颅骨的即刻处理、再植团队协作的价值、手术的各个技术方面以及术后管理提出了具体建议。文中强烈主张更频繁地使用静脉移植。
