McCann J, O'Donoghue J, Kaf-al Ghazal S, Johnston S, Khan K
Department of Plastic, Reconstructive, and Hand Surgery, University College Hospital, Galway, Ireland.
Microsurgery. 1994;15(9):639-42. doi: 10.1002/micr.1920150907.
Total scalp avulsion is an unusual injury. To obtain good functional and cosmetic results, immediate revascularization using microsurgical techniques and replacement of the scalp in the correct anatomical position is the procedure of choice. This article describes a case report of successful replantation of a totally avulsed scalp from a 26-year-old male. Bilateral superficial temporal vessel anastomoses were performed using reversed autologous long saphenous vein grafts on the right side and direct repair on the left. Points of technique are discussed and the literature is reviewed.
全头皮撕脱伤是一种罕见的损伤。为获得良好的功能和美容效果，采用显微外科技术立即进行血管再通并将头皮置于正确的解剖位置是首选的手术方法。本文报道了一例成功再植一名26岁男性全撕脱头皮的病例。右侧使用自体大隐静脉逆行移植进行双侧颞浅血管吻合，左侧进行直接修复。文中讨论了技术要点并回顾了相关文献。
