Successful management of scalp avulsion with full-thickness graft
Case report published in Clin Case Rep (2022)
Abstract
Scalp avulsion injuries are one of the life-threatening traumatic injuries. Rapid management in the emergency department is vital to the successful rescue of an avulsed scalp. There are many replantation methods to treat scalp avulsion, so the best aesthetic and functional results are achieved. Skin grafting, free flaps, microvascular surgery, and hyperbaric oxygen are all suitable for reconstructive plans. We report a rare case of a scalp avulsion injury in a female due to an entanglement of a headscarf in a motorized machine resulting in defects and tissue loss of the hair-bearing skin, nasal area, forehead, left ear, and bilateral eyelids and eyebrows. Preoperative management included early blood transfusion, intravenous fluids, and wound compression after rapid physical examination. Reconstructive surgery was performed using a full-thickness skin graft and the outcomes were pristine. There are no clear guidelines to determine which reconstructive method is superior to another in each condition. Our case demonstrates that relatively primitive methods like skin grafting can give greater results if done with circumspection.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Resumen
Scalp-avulsion case successfully managed with full-thickness graft as alternative or salvage following primary microsurgical effort.
Por qué esto importa para la hirudoterapia
Este informe de caso describe la reconstrucción exitosa de una lesión grave por avulsión del cuero cabelludo en una paciente de sexo femenino —que afectaba piel pilosa, nariz, frente, oreja y párpados— mediante un injerto de piel de espesor total, con resultados óptimos. El resumen discute el manejo de emergencia que incluyó transfusión sanguínea, reanimación con fluidoterapia y diversas opciones reconstructivas (injerto de piel, colgajos libres, cirugía microvascular, oxígeno hiperbárico). No se menciona sanguijuelas, hirudoterapia, hirudina ni sustancias derivadas de sanguijuela. Si bien la terapia con sanguijuelas se emplea a veces en cirugía de colgajos y reimplantes para la congestión venosa, en este caso no se utilizó. El artículo no tiene relevancia directa para el ámbito de ASH.
Citación
Successful management of scalp avulsion with full-thickness graft.
Almoshantaf et al. · Clinical case reports, 2022
Contexto clínico relacionado
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Añadido a la biblioteca ASH: May 27, 2026 · Última actualización del sitio: 18 de junio de 2026