Abstract：
BACKGROUND: Scalp replantation is the best treatment for scalp avulsion due to its functional and esthetic benefits. Regular scalp replantation requires only unilateral or bilateral superficial temporal vascular anastomosis. However, shear force always damages vessels in severe scalp avulsions. Short, superficial temporal vessels (STVs) make tension-free anastomosis challenging.
OBJECTIVE: The objective of this article is to improve the regular scalp replantation technique. When the STVs are short, tension-free anastomosis, and cosmetic symmetry can be achieved without vein grafts or vascular replacement.
METHODS: This study retrospectively reviewed 18 patients with scalp avulsion, of which 10 underwent scalp-shifting replantation, and 8 underwent regular scalp replantation with direct anastomosis of the STVs. Postoperatively, the authors, assessed whether there was a significant difference in the percentage of scalp survival and in the facial symmetry of patients between the 2 methods.
RESULTS: The percentages of scalp survival and facial symmetry were good after surgeries using both methods, and no significant differences were observed.
CONCLUSIONS: The authors use scalp-shifting replantation to create tension-free anastomoses in cases where scalp avulsion injuries have left the superficial temporal arteries too short. This technique ensures facial symmetry, scalp reimplantation survival, and equally excellent results in function and esthetics.
OBJECTIVE: The objective of this article is to improve the regular scalp replantation technique. When the STVs are short, tension-free anastomosis, and cosmetic symmetry can be achieved without vein grafts or vascular replacement.
METHODS: This study retrospectively reviewed 18 patients with scalp avulsion, of which 10 underwent scalp-shifting replantation, and 8 underwent regular scalp replantation with direct anastomosis of the STVs. Postoperatively, the authors, assessed whether there was a significant difference in the percentage of scalp survival and in the facial symmetry of patients between the 2 methods.
RESULTS: The percentages of scalp survival and facial symmetry were good after surgeries using both methods, and no significant differences were observed.
CONCLUSIONS: The authors use scalp-shifting replantation to create tension-free anastomoses in cases where scalp avulsion injuries have left the superficial temporal arteries too short. This technique ensures facial symmetry, scalp reimplantation survival, and equally excellent results in function and esthetics.
摘要：
背景：由于其功能和美学益处，头皮再植是头皮撕脱的最佳治疗方法。常规头皮再植仅需要单侧或双侧颞浅血管吻合。然而,剪切力总是在严重的头皮撕脱中损害血管。短,颞浅血管（STV）使无张力吻合具有挑战性。
目的：本文的目的是改进常规头皮再植技术。当STV短时，无张力吻合,无需静脉移植或血管置换即可实现外观对称。
方法：本研究回顾性分析了18例头皮撕脱伤患者，其中10人接受了头皮移位再植，8例接受常规头皮再植，直接吻合STV。术后,作者,评估两种方法之间患者的头皮存活率百分比和面部对称性是否存在显着差异。
结果：使用两种方法进行手术后，头皮存活率和面部对称性的百分比都很好，并且没有观察到显著差异。
结论：在头皮撕脱伤导致颞浅动脉太短的情况下，作者使用头皮移位再植来创建无张力吻合。这种技术确保面部对称，头皮再植入存活率，在功能和美学方面同样出色。
目的：本文的目的是改进常规头皮再植技术。当STV短时，无张力吻合,无需静脉移植或血管置换即可实现外观对称。
方法：本研究回顾性分析了18例头皮撕脱伤患者，其中10人接受了头皮移位再植，8例接受常规头皮再植，直接吻合STV。术后,作者,评估两种方法之间患者的头皮存活率百分比和面部对称性是否存在显着差异。
结果：使用两种方法进行手术后，头皮存活率和面部对称性的百分比都很好，并且没有观察到显著差异。
结论：在头皮撕脱伤导致颞浅动脉太短的情况下，作者使用头皮移位再植来创建无张力吻合。这种技术确保面部对称，头皮再植入存活率，在功能和美学方面同样出色。
