Microsurgical Replantation of Avulsed Scalp - Two Cases Report

以顯微手術再植頭皮撕離－二病例報告

10.6452/KJMS.199205.0285

周治剛(Chih-Kang Chou)；林幸道(Sin-Daw Lin)；楊錦江(Chin-Chiang Yang)；賴春生(Chung-Sheng Lai)；林高田(Gau-Tyan Lin)

scalp injuries ； replantation

The Kaohsiung Journal of Medical Sciences

8卷5期（1992 / 05 / 01）

285 - 289

英文

頭皮撕離是一種嚴重且相當難以重建的傷害，本文報告兩例頭皮撕離傷之女性病例，在顯微手術下成功地再植。兩病人皆工作時不慎將頭髮捲入機噞，第一例病頭部右側的大半頭皮被撕離，手術後完全存活。第二例則全部頭皮加上後頸部之皮膚皆被撕離，手術後大部份頭皮都植活，僅有枕部木部份頭皮及後頸部的皮膚未能存活，再施以皮膚移植後傷口癒合。兩例雖然都只接一條動脈及一條靜脈，但頭皮皆能良好存活，並且在手術後都有茂密的頭髮長出。

Two female patients with scalp avulsion treated successfully by microsurgical replatntation. The first patient suffered an avulsion of the right half of scalp and which survived fully after replantation. The second patient suffered avulsion of the entire scalp as well as the forehead skin and nape of the neck. Almost all of the avulsed part survived except partial skin loss in the posterior neck and left occipital area. Only one temporal artery one vein was anastomosed in each case. Near normal hair growth recurred in both cases.