Document Detail


Secondary expansion of a replanted scalp salvaged by an intrinsic arteriovenous shunt.
MedLine Citation:
PMID:  10359258     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
1. Although scalping injuries reported in most large series rarely involve young children, partial scalp replantation, even in a 2-year-old boy after a dog-bite avulsion, should also be warranted. However, technical difficulties because of the diminutive vasculature can be expected. 2. Unconventional methods for reestablishing inflow or outflow for the replanted scalp may become the only practical alternative and must not be overlooked. In this case, an arteriovenous shunt between the frontal branch of the superficial temporal artery within the amputated part itself to a more distal scalp vein at the superior edge of the fragment allowed high-output flow to maintain patency after recurrent thromboses of the conventional superficial temporal arterial anastomosis. This fistula was assumed to be the major contributor to nutrient flow of the remaining scalp, as the parietal branch was truncated along the margin of the avulsion. 3. Delayed tissue expansion is also an option. In this case, delayed expansion of the replanted scalp that survived allowed elimination of the skin grafts needed to cover areas where necrosis ensued, restoration of the anterior hairline, and resulted in a more normal appearance.
Authors:
G G Hallock
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  103     ISSN:  0032-1052     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-06-16     Completed Date:  1999-06-16     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1957-60     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Animals
Arteriovenous Shunt, Surgical / methods*
Bites and Stings / surgery
Child, Preschool
Craniocerebral Trauma / surgery
Dogs
Humans
Male
Replantation*
Scalp / blood supply,  injuries*,  surgery*
Tissue Expansion / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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