Microsurgical Replantation of Partial Avulsion of the Scalp

Abstract

An 8–year-old girl was bitten by a dog and, as well as minor wounds, had a complete avulsion of the central part of the scalp covering an area of 8 × 10 cm. By rotating the replant 180° and by using 5 cm long vein grafts, two sleeve anastomoses, and two end-to-end anastomoses the blood supply was restored. The operation lasted nine hours, and she stayed in hospital for 12 days. Her clinical course was uneventful. At follow-up 23 months later the cosmetic and functional results were good.

Key Words:

• scalp avulsion
• replantation
• microsurgery
• dog bite