Background:Microsurgical replantation has become the most favorable treatment option for scalp avulsion.However,the accurate prediction of postoperative replant viability remains challenging.Case presentation:In this ...Background:Microsurgical replantation has become the most favorable treatment option for scalp avulsion.However,the accurate prediction of postoperative replant viability remains challenging.Case presentation:In this article,we showed that(indocyanine green angiography,ICGA)can provide a much more precise prediction of replant necrosis than conventional clinical assessment in a rare case of complete scalp avulsion with prolonged ischemia time.Conclusion:Clinical assessment of replant survival may be misleading in cases of complex tissue injuries and prolonged ischemic stress.This case provides insight into the promising utility of ICGA as an important adjuvant tool to better assess tissue perfusion and viability in scalp avulsion and possibly other types of replantation.展开更多
Scalp avulsion is a severe injury. It only occasionally occurs in an industrial accident. Often a suddenentanglement and the instinctively instantaneous pull-out of the long hair into a high-speed rotary machine leads...Scalp avulsion is a severe injury. It only occasionally occurs in an industrial accident. Often a suddenentanglement and the instinctively instantaneous pull-out of the long hair into a high-speed rotary machine leads to the disaster. If the damage could not be restored through microsurgery, other methods, including simply replacing the avulsed scalp, or free flap graft from other part of the body, could not live up to aesthetic and functional demand, causing long-time psychological distress.展开更多
基金supported by grants from the National Natural Science Foundation of China(81772086,8170120)the Shanghai Municipal Education Commission-Gaofeng Clinical Medicine Grant(20161424)+1 种基金Shanghai Sailing Program(16YF1403500,17YF1401900)China Postdoctoral Science Foundation(2018 M630449).
文摘Background:Microsurgical replantation has become the most favorable treatment option for scalp avulsion.However,the accurate prediction of postoperative replant viability remains challenging.Case presentation:In this article,we showed that(indocyanine green angiography,ICGA)can provide a much more precise prediction of replant necrosis than conventional clinical assessment in a rare case of complete scalp avulsion with prolonged ischemia time.Conclusion:Clinical assessment of replant survival may be misleading in cases of complex tissue injuries and prolonged ischemic stress.This case provides insight into the promising utility of ICGA as an important adjuvant tool to better assess tissue perfusion and viability in scalp avulsion and possibly other types of replantation.
文摘Scalp avulsion is a severe injury. It only occasionally occurs in an industrial accident. Often a suddenentanglement and the instinctively instantaneous pull-out of the long hair into a high-speed rotary machine leads to the disaster. If the damage could not be restored through microsurgery, other methods, including simply replacing the avulsed scalp, or free flap graft from other part of the body, could not live up to aesthetic and functional demand, causing long-time psychological distress.
