Nonreplantable total scalp avulsion reconstruction with acellular biologic matrix

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.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Total scalp avulsion deemed nonreplantable reconstructed with acellular biologic matrix as alternative to microsurgical replantation.

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