Biomaterial Database

Microvascular replantation of a completely avulsed scalp. 1994

J McCann, and J O'Donoghue, and S Kaf-al Ghazal, and S Johnston, and K Khan

Department of Plastic, Reconstructive, and Hand Surgery, University College Hospital, Galway, Ireland.

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.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008866	Microsurgery	The performance of surgical procedures with the aid of a microscope.
D012092	Replantation	Restoration of an organ or other structure to its original site.	Reimplantation,Surgical Replantation,Replantation, Surgical,Reimplantations,Replantations,Replantations, Surgical,Surgical Replantations
D005138	Eyebrows	Curved rows of HAIR located on the upper edges of the eye sockets.	Eyebrow
D005546	Forehead	The part of the face above the eyes.	Foreheads
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000062	Accidents, Occupational	Unforeseen occurrences, especially injuries in the course of work-related activities.	Accidents, Industrial,Industrial Accidents,Occupational Accidents,Accident, Industrial,Accident, Occupational,Industrial Accident,Occupational Accident
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D000714	Anastomosis, Surgical	Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.	Surgical Anastomosis,Anastomoses, Surgical,Surgical Anastomoses
D012535	Scalp	The outer covering of the calvaria. It is composed of several layers: SKIN; subcutaneous connective tissue; the occipitofrontal muscle which includes the tendinous galea aponeurotica; loose connective tissue; and the pericranium (the PERIOSTEUM of the SKULL).	Scalps