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Total scalp replantation based on one artery and one vein

✍ Scribed by Serdar Eren; Jürgen Hess; Dr. Grahame C. Larkin

Publisher: John Wiley and Sons
Year: 1993
Tongue: English
Weight: 570 KB
Volume: 14
Category: Article
ISSN: 0738-1085
DOI: 10.1002/micr.1920140410

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✦ Synopsis

Abstract

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.

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