Nonreplantable Total Scalp Avulsion Reconstruction with Acellular Biologic Matrix and Long-Term Outcome. Issue 4 (25th June 2022)

• Record Type: Journal Article
• Authors: Anderson, Spencer R.; Gupta, Nishtha; Johnson, R. Michael
• Is Part Of: Journal of craniofacial surgery. Volume 33:Issue 4(2022)
• Page Start: e445
• Page End: e446
• Publication Date: 2022-06-25
• Subjects: Avulsion -- microsurgery -- porcine urinary bladder biologic matrix -- reconstruction -- traumatic injury; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000008556
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Abstract: Total scalp avulsion is a significant injury typically occurring as a result of industrial accidents involving high-speed rotary machines. Although ideal, scalp replantation is uncommon secondary to the nature of the injury and lack of viable microvas-cular anastomosis targets. Therefore, these defects are often reconstructed with microvascular free tissue transfer, with or without skin grafting. We present a unique case of a patient with total scalp avulsion achieving complete, stable skin coverage over partially intact periosteum using only spare parts of the amputated scalp as a temporary full-thickness graft and porcine urinary bladder matrix, thus, avoiding significant donor site morbidity or extensive surgery. At 4 years postoperative, the scalp coverage remains stable.