CC BY-NC-ND 4.0 · Indian J Plast Surg 2018; 51(02): 243-246
DOI: 10.4103/ijps.IJPS_206_17
Case Report
Association of Plastic Surgeons of India

Scalp replantation in a cervical spine injury patient: Lessons learnt

Vithal Malmande
Department of Plastic Surgery, Apollo Hospitals, Bengaluru, Karnataka, India
,
Naveen Rao
Department of Plastic Surgery, Apollo Hospitals, Bengaluru, Karnataka, India
,
Amaresh Biradar
Department of Plastic Surgery, Apollo Hospitals, Bengaluru, Karnataka, India
,
Abhilash Bansal
Department of Plastic Surgery, Apollo Hospitals, Bengaluru, Karnataka, India
,
Chandrika Dutt
Department of Plastic Surgery, Apollo Hospitals, Bengaluru, Karnataka, India
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Publikationsverlauf

Publikationsdatum:
26. Juli 2019 (online)

ABSTRACT

Total scalp avulsion injury with cervical spine injury is rare. This article is to describe the technical difficulties and precautions to be taken during anatomical replantation. The patients with cervical spine injury should not be considered as an absolute contraindication for anatomical replant if patients are fit for general anaesthesia. We found that the supratrochlear and supraorbital vessels which are anterior and superficial temporal vessels which are lateral can be used to replant without much technical difficulty. We conclude that anatomical replant is always better keeping in mind the technical limitations of anatomical replant in case of cervical spine injury.

 
  • REFERENCES

  • 1 Miller GD, Anstee EJ, Snell JA. Successful replantation of an avulsed scalp by microvascular anastomoses. Plast Reconstr Surg 1976; 58: 133-6
  • 2 Jiang Z, Li S, Cao W. Emergency management of traumatic total scalp avulsion with microsurgical replantation. Ulus Travma Acil Cerrahi Derg 2014; 20: 66-70
  • 3 Zhang Y, Cheng K, Dong J, Li Q, Tremp M, Zhu L. et al. Incidence and features of vertebral fractures after scalp avulsion injuries. J Craniofac Surg 2015; 26: 2217-20
  • 4 Hills MW, Deane SA. Head injury and facial injury: Is there an increased risk of cervical spine injury?. J Trauma 1993; 34: 549-53
  • 5 Sanger JR, Logiudice JA, Rowe D, Cortes W, Matloub HS. Ectopic scalp replantation: A case report. J Plast Reconstr Aesthet Surg 2010; 63: e23-7
  • 6 Xu H, Zhang Y, He J, Lin Y, Wang T, Dong J. Ectopic implantation of an avulsed scalp with a tissue expander on a forearm for combined total scalp avulsion and spine injuries: A case report. Microsurgery 2016; 37 (07) 1-5
  • 7 Saini S, Bala R, Singh R. Evaluation of the intubating laryngeal mask airway (ILMA) as an intubation conduit in patients with a cervical collar simulating fixed cervical spine. South Afr J Anaesth Analg 2017; 23: 40-4
  • 8 Komatsu R, Nagata O, Kamata K, Yamagata K, Sessler DI, Ozaki M. et al. Intubating laryngeal mask airway allows tracheal intubation when the cervical spine is immobilized by a rigid collar. Br J Anaesth 2004; 93: 655-9
  • 9 Sabapathy SR, Venkatramani H, Bharathi RR, D'Silva J. Technical considerations in replantation of total scalp avulsions. J Plast Reconstr Aesthet Surg 2006; 59: 2-10
  • 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; 32: 591-7
  • 11 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
  • 12 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; 97: 1099-106
  • 13 Plant MA, Fialkov J. Total scalp avulsion with microvascular reanastomosis: A case report and literature review. Can J Plast Surg 2010; 18: 112-5
  • 14 Yin JW, Matsuo JM, Hsieh CH, Yeh MC, Liao WC, Jeng SF. et al. Replantation of total avulsed scalp with microsurgery: Experience of eight cases and literature review. J Trauma 2008; 64: 796-802
  • 15 Sykes Jr. LN, Cowgill F. Management of hemorrhage from severe scalp lacerations with raney clips. Ann Emerg Med 1989; 18: 995-6
  • 16 Anoop P, Malmande V, Prakash Kumar MN, Rao N. Successful penile reconstruction following prior arteriovenous loop thrombosis due to undiagnosed protein-S deficiency and exogenous testosterone. Indian J Plast Surg 2016; 49: 268-70
  • 17 Koul AR, Nahar S, Valandi B, Praveen KH. Use of a halo frame for optimum intra- and post-operative management after scalp replantation/revascularization. Indian J Plast Surg 2012; 45: 560-2