WORLD JOURNAL OF PLASTIC SURGERY
Mon, Dec 1, 2025
[Archive]
1- 1. Department of Plastic Surgery, Fatima Zahra Hospital, Iran University of Medical Sciences, Tehran, Iran
2- 1. Department of Plastic Surgery, Fatima Zahra Hospital, Iran University of Medical Sciences, Tehran, Iran ,alireza_minouee@yahoo.com
2- 1. Department of Plastic Surgery, Fatima Zahra Hospital, Iran University of Medical Sciences, Tehran, Iran ,
Abstract: (453 Views)
This case report describes the surgical management and outcome of a 24-year-old female engineer who suffered a total scalp avulsion injury caused by an industrial food mixer. The injury extended from the level of the eyebrows to the back of her neck and was complicated by the traumatic amputation of her right-hand first finger. Successful replantation of the scalp was achieved using microsurgical techniques, with postoperative challenges including venous congestion requiring secondary intervention. This case highlights the importance of timely surgical intervention, comprehensive trauma management, and postoperative anticoagulation in extensive avulsion injuries.
Type of Study: Review Article |
Subject:
Special
References
1. Wechselberger G, Pumberger P, Schwaiger K, Wimbauer J, Köninger F, Russe E, et al. Microsurgical scalp replantation: lessons learned and technical considerations. Plast Reconstr Surg Glob Open 2022 Mar 30;10(3):e4155. doi: 10.1097/GOX.0000000000004155. eCollection 2022 Mar. [DOI:10.1097/GOX.0000000000004155]
2. Madsen CB, Poulsen L, Bakholdt V, et al. Microsurgical replantation of a traumatic total scalp avulsion. BMJ Case Rep CP 2023;16:e252570. doi: 10.1136/bcr-2022-252570. [DOI:10.1136/bcr-2022-252570]
3. Cheng K, Zhou S, Jiang K, Wang S, Dong J, Huang W, et al. Microsurgical replantation of the avulsed scalp: report of 20 cases. Plast Reconstr Surg 1996 May;97(6):1099-106; discussion 1107-8. doi: 10.1097/00006534-199605000-00001. [DOI:10.1097/00006534-199605000-00001]
4. Neligan PC, Gurtber CG, Pusic AL. Plastic Surgery 5th ed. Philadelphia: Elsevier; 2023. Vol. 1. p. 414-41.
5. Lu MM. Successful replacement of avulsed scalp. Case report. Plast Reconstr Surg 1976;58:133-6. doi: 10.1097/00006534-196903000-00002. [DOI:10.1097/00006534-196903000-00002]
6. Miller GD, Anstee EJ, Snell JA. Successful replantation of an avulsed scalp by microvascular anastomoses. Plast Reconstr Surg 1976 Aug;58(2):133-6. doi: 10.1097/00006534-197608000-00001. [DOI:10.1097/00006534-197608000-00001]
7. Nguyen HH. The microsurgical replantation of seven complete scalp avulsions: is one artery sufficient? J Plast Reconstr Aesthet Surg 2012 Dec;65(12):1639-44. doi: 10.1016/j.bjps.2012.06.001. Epub 2012 Jul 6. [DOI:10.1016/j.bjps.2012.06.001]
8. Nahai F, Hurteau J, Vasconez LO. Replantation of an entire scalp and ear by microvascular anastomoses of only 1 artery and 1 vein. Br J Plast Surg 1978;31:339-42. doi: 10.1016/s0007-1226(78)90122-4. [DOI:10.1016/S0007-1226(78)90122-4]
9. Kim D, Oh S, Jeong WS. Successful replantation of an avulsed frontal scalp through microvascular anastomoses of only one artery and one vein: a case report. Arch Craniofac Surg 2024 Apr;25(2):95-8. doi: 10.7181/acfs.2023.00122. [DOI:10.7181/acfs.2023.00122]
10. Herrera F, Buntic R, Brooks D, Buncke G, Antony AK. Microvascular approach to scalp replantation and reconstruction: a thirty-six year experience. Microsurgery 2012 Nov;32(8):591-7. doi: 10.1002/micr.22037. Epub 2012 Aug 18. [DOI:10.1002/micr.22037]
11. Neligan PC, Losee JE, Hopper RA. Plastic Surgery 5th ed. Philadelphia: Elsevier; 2023. Vol. 3. p. 39-51.
12. Almoshantaf MB, Swed S, Hajjar A, Alshawaf A, Nabhan A, Zetani B, et al. Successful management of scalp avulsion with full-thickness graft. Clin Case Rep 2022 Jul 25;10(7):e6094. doi: 10.1002/ccr3.6094. [DOI:10.1002/ccr3.6094]
13. Yin JW, Matsuo JM, Hsieh CH, Yeh MC, Liao WC, Jeng SF. Replantation of total avulsed scalp with microsurgery: experience of eight cases and literature review. J Trauma 2008 Mar;64(3):796-802. doi: 10.1097/TA.0b013e3180341fdb [DOI:10.1097/TA.0b013e3180341fdb]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
