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.
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。