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Total scalp replantation based on one artery and one vein
Author(s) -
Eren Serdar,
Hess Jürgen,
Larkin Grahame C.
Publication year - 1993
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.1920140410
Subject(s) - medicine , replantation , eyebrow , scalp , anastomosis , surgery , vein , scars , revascularization , artery , myocardial infarction
A successful replantation of a totally avulsed scalp, including both eyebrows, with only one arterial and one venous anastomosis to the superficial temporal vessels is described. Apart from a small partial skin necrosis of the right eyebrow, the entire transplant survived. Subsequently, the patient required only minor additional skin grafting, correction of scars with a skin expander, and reconstruction of the eyebrow with hair micrografts. Replantation of the total scalp based on two or more vessels has previously been recommended and reported elsewhere. In the present case, complete survival of the scalp on only one artery and one vein was demonstrated, indicating that replantation should be considered even if available vessels for anastomosis are minimal. © 1993 Wiley‐Liss Inc.