Zekeriya TOSUN, Mübin HOŞNUTER, Sadık ŞENTÜRK, Adem ÖZKAN, Nedim SAVACI

Tek arter ve ven ile total skalp replantasyonu

Amaç: Skalp avulsiyonlarının tedavisinde estetik olarak en iyi sonuçlar ancak mikrovasküler replantasyon yöntemleriyle elde edilebilmiştir. Literatürde, az sayıda tek arter-ven onarımıyla tedavi edilen başarılı skalp avulsiyonu olguları vardır. Olgu sunumu: Yazımızda 10 saatlik iskemi zamanını takiben tek arter-ven onarımıyla başarılı sonuç elde edilen bir total skalp avulsiyonu olgusunu sunmaktayız. Sonuç: Mikrovasküler cerrahide mümkün olduğu kadar çok sayıda damar anastomozu yapılması cerrahi başarıyı arttıracak faktör olarak bildirilmektedir.

Anahtar Kelimeler:

Ergen, Kadın, Saçlı deri, Reimplantasyon, Yaralar ve yaralanmalar, Anastomoz, cerrahi

Total scalp replantation with one artery and vein

Objective: The best results in the treatment of scalp avulsion can be obtained only with microvascular replantation. There are only a small amount of paper presenting successful avulsed scalp replantation cases with one artery and vein in the literature. Case report: We present a case of successful replantation of a totally avulsed scalp with only one artery and one vein anastomosis after 10 hours ischemia time. Conclusion: It is reported that several vascular anastomosis is a factor to have better results in microvascular surgery for total scalp revascularization.

Keywords:

Adolescent, Female, Scalp, Replantation, Wounds and Injuries, Anastomosis, Surgical,

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1. Miller GD, Anstee EJ, Snell JA. Successful replantation of an avulsed scalp by microvascular anastomoses. Plast Reconstr Surg 1976;58:133.
2. Nahai F, Hester TR, Jurkiewicz ME. Microsurgical replantasyon of the scalp. J Trauma 1985;25:897.
3. Cao YL, Chang TS, Zhous Fu KD. Successful replantation of a totally avulsed scalp. Chin J Microsurg 1991;14:223.
4. Lu M. Successful replacement of avulsed scalp. Plast Reconstr Surg 1969;43:231.
5. Hankings EA. Total scalp avulsions. Annals Surgery 1963;158:277.
6. Yormuk E, Gultan S, Sevin K, Yenidunya MO. Dermabrader: A different use in preparing scalp defects without periosteum for immediate skin grafting. Eur J Plast Surg 1994;17:161.
7. Nahai F, Hurteau J, Vascones LO. Replantation of entire scalp and ear by microvascular anastomoses of only one artery and one vein. Br J Plast Surg 1978;31:339.
8. Zhou S, Chang T, Guan W, Chen K, Wang S, Cao Y, et al. Microsurgical replantation of the avulsed scalp: Report of six cases. J Reconstr Microsurg 1993;9:121-5.
9. Kaplan HY, Yaffe B, Borenstein A. Single artery replantation of totally avulsed scalp. Injury 1993;24:488-90.
10. Henderson HP, Matti B, Laing AG, Morelli S, Sully L. Avulsion of the scalp treated by microvascular repair: The use of leeches for post-operative decongestion. Br J Plast Surg 1983;36:235-9.
11. Chen IC, Wan HL. Microsurgical replantation of avulsed scalps. J Reconstr Microrurg 1996;12:105-12.
12. Sadove AM, Moore TS, Eppley BL. Total scalp, ear and eyebrow avulsion: Aesthetic adjustment of the replanted tissue. J Reconstr Microsurg 1990;6:223.
13. Sirimahaj W, Boonpadhanapong T. Scalp replantation: A case report of long ischemic time. J Med Assoc Thai 2001;84:1629-34.