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Handchir Mikrochir Plast Chir 2018; 50(02): 142-148
DOI: 10.1055/s-0044-102305
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Successful replantation of the scalp with a good aesthetic outcome and return of sensation – a case report and literature update.

Erfolgreiche Replantation des Skalps mit gutem ästhetischem Ergebnis und Rückkehr der Sensibilität: Fallbericht und Aktualisierung der Literatur
Lukasz Ulatowski
Centre of Postgraduate Medical Education Department of Plastic Surgery
,
Anna Kaniewska
Centre of Postgraduate Medical Education Department of Plastic Surgery
› Author Affiliations
Further Information

Publication History

11/06/2017

01/28/2018

Publication Date:
19 April 2018 (online)

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Abstract

Replantation of a totally avulsed scalp is a demanding microsurgical procedure with no good alternatives. Here, we present a case of successful scalp replantation after 11 hours of cold ischemia in a 24-year-old woman. The steps of the procedure, the outcomes, and a review of the literature are presented. Adhering to the steps outlined in this report during replantation is vital for success, and allows the serious complications and pitfalls associated with this procedure to be avoided. Following basic plastic surgery principles leads to better aesthetic outcomes. We observed good, even hair growth, and the return of sensation to the skin and frontal muscle function. Replantation of an avulsed scalp is an effective treatment that allows the patient to return to normal life after severe physical and psychological trauma.

Zusammenfassung

Die Replantation eines vollständig abgetrennten Skalps ist ein anspruchsvolles mikrochirurgisches Verfahren, für das es keine guten Alternativen gibt. Im Folgenden präsentieren wir den Fall einer 24-jährigen Frau, bei der nach 11-stündiger kalter Ischämie eine erfolgreiche Skalpreplantation durchgeführt wurde. Wir präsentieren die Schritte des Verfahrens, die Ergebnisse und eine Literaturübersicht. Die Einhaltung der in diesem Bericht aufgeführten Schritte während der Replantation ist erfolgsentscheidend und ermöglicht es, die mit diesem Verfahren verbundenen schwerwiegenden Komplikationen und Fallstricke zu vermeiden. Die Einhaltung grundlegender plastisch-chirurgischer Prinzipien führt zu besseren ästhetischen Ergebnissen. Wir beobachteten ein gutes, gleichmäßiges Haarwachstum sowie die Rückkehr der Hautsensibilität und der Funktion des Musculus frontalis. Die Replantation eines abgerissenen Skalps ist eine effektive Behandlung, die dem Patienten nach schwerem physischem und psychologischem Trauma die Rückkehr ins normale Leben ermöglicht.

Key words

scalp replantation - scalp avulsion - vein grafts - microsurgery

Schlüsselwörter

Skalpreplantation - Skalpabtrennung - Mikrochirurgie - Venentransplantate
 

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