Modified Method of Scalp Fixation Promotes Survival of Complete Scalp Avulsion Replantation

Abstract

ABSTRACT A complete scalp avulsion injury is rare but extremely challenging to treat. Because of the dense blood vessel bundles in the scalp, replantation failure may occur if there is a subcutaneous hematoma. The method of scalp fixation is crucial for replantation to be successful. We successfully treated a total scalp avulsion injury using a modified scalp fixation method, coupled with microsurgical anastomosis, to avoid subcutaneous hematoma effectively and achieved a satisfactory outcome with a follow‐up of 9 years postoperatively.

Keywords

• case report
• complete scalp avulsion
• microsurgical replantation
• scalp fixation