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J Reconstr Microsurg 1993; 9(2): 121-125
DOI: 10.1055/s-2007-1006660
ORIGINAL ARTICLE

© 1993 by Thieme Medical Publishers, Inc.

Microsurgical Replantation of the Avulsed Scalp: Report of Six Cases

Su Zhou, Ti-sheng Chang, Wen-xiang Guan, Kai-xiang Chen, Shan-liang Wang, Yi-lin Cao, Wen-yi Huang
  • Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai 2nd Medical University, Shanghai, China
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Publication History

Accepted for publication 1992

Publication Date:
08 March 2008 (online)

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ABSTRACT

This article reports the successful microsurgical replantation of six scalps avulsed for over 3 to 11 hr, after trauma and before repair, including five total and one partial avulsion. The authors believe that one key to successful replantation is effective vessel anastomoses. In the reported series, three scalps were reconstructed with two superficial temporal vessels and in five cases, with a 1:1 ratio between arteries and veins. The partially avulsed scalp was replanted successfully with only one artery and one vein. The management of postoperative complications is discussed.