WARNING! The photos are GRAPHIC. I did a similar scalp replantation when I was a resident. Took all night, but one of my most memorable operations from my residency.
Reposted from @plasticsurgery - ⚠️ A case of a 21-year-old female patient with a traumatic total scalp avulsion!
She was working in a factory when machinery caught her hair and removed her scalp.
The surgery lasted from 7 p.m. to 5 a.m. The affected area of scalp extended from the nape of the neck, up and over to the forehead and included part of one eyelid. Both ears were affected, leaving only the lobes intact. ....
The first major task was to explore the temporal area and avulsed scalp to identify the stumps of the superficial temporal vessels.
They moved to the scalp, cleaning and then trimming the hair and aggressively irrigating the tissue, followed by a debridement.
The surgeons isolated the right-side artery on both the patient and the avulsed tissue and sutured them back together.
The remainder of the surgery was devoted to a meticulous multi-layered reconnection of muscle, cartilage, lacerated nerves, skin, and scalp components. This painstaking process took about five additional hours, but restoring the anatomic continuity of all these structures was critical to achieve the best outcome.
She remained in the hospital for about a week. After a month, when the surgeons could be sure of the extent of the dead tissue, she returned to have it removed. The affected area was small enough (about 1.5 cm) that it was able to simply join the edges of healthy tissue together. No skin grafting was needed. So far the patient had regained sensation in her forehead and is beginning to regain movement.
Credit: Mauricio Moreno, MD, Christopher T. We ・・・
Shared from DailyMedicalCases on Facebook. . Plastic Surgeon Credit: Philip K. Robb Jr. - Follow @FACIALSURGEONS for more amazing stories like this! - #regrann