Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Successful replantation of an avulsed frontal scalp through microvascular anastomoses of only one artery and one vein: a case report

  • Dongjin Kim (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Somin Oh (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Woo Shik Jeong (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2023.03.22
  • Accepted : 2023.06.20
  • Published : 2024.04.20
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Abstract

Scalp avulsion is a devastating injury. The best possible procedure is replantation. Several successful scalp replantations with anastomoses of several vessels in large defects have been reported. In this report, we present a case of replantation of a large scalp avulsion using revascularizing with only one artery and vein. Despite the initial signs of flap congestion, we could predict the survival of the replanted scalp and terminate the procedure after detecting good perfusion and washout with indocyanine green fluorescence imaging. The procedure was successful following the patient's recovery of sensory and sweating functions without complications such as flap necrosis or infection. Several important factors for successful scalp replantation with positive esthetic and functional outcomes were considered.

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References

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