Arashiro K, Ohtsuka H, Ohtani K, Yamamoto M, Nakaoka H, Watanabe T, Tezuka K
Department of Dermatology (Section of Plastic and Reconstructive Surgery), Ehime University School of Medicine, Japan.
J Reconstr Microsurg. 1995 Jul;11(4):245-50. doi: 10.1055/s-2007-1006539.
A case of successful replantation of a totally avulsed scalp in a 40-year-old woman is presented. During a 19-hr surgical procedure, bilateral superficial temporal arteries and veins were anastomosed. The postoperative course was uneventful, except for partial necrosis of the distal end of the avulsed flap, i.e., the occipital region. Since the first successful scalp replantation using microsurgical technique was reported in 1976, the authors have found at least 32 subsequently reported cases. Of these, there were 22 cases of entire scalp avulsion (more than 80 percent of the scalp), including 15 females and seven males. A summary of these cases is included. From analysis of the reported cases of entire scalp avulsion, the keys to success in scalp replantation are considered to be the adequate selection of vessels for repair and the use of vein grafts, if necessary.
本文介绍了一例40岁女性完全撕脱头皮再植成功的病例。在长达19小时的手术过程中，吻合了双侧颞浅动静脉。术后过程顺利，除了撕脱皮瓣远端即枕部出现部分坏死。自1976年首次报道使用显微外科技术成功进行头皮再植以来，作者发现至少有32例后续报道的病例。其中，有22例全头皮撕脱（超过头皮的80%），包括15名女性和7名男性。本文包含了这些病例的总结。通过对报道的全头皮撕脱病例分析，头皮再植成功的关键被认为是合理选择用于修复的血管，并在必要时使用静脉移植。
