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Successful management of scalp avulsion with full‐thickness graft

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...

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Autores principales: Almoshantaf, Mohammad Badr, Swed, Sarya, Hajjar, Abdulkader, Alshawaf, Ala’a, Nabhan, Ahmad, Zetani, Bayan, Etr, Aladdin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314553/
https://www.ncbi.nlm.nih.gov/pubmed/35903513
http://dx.doi.org/10.1002/ccr3.6094
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author Almoshantaf, Mohammad Badr
Swed, Sarya
Hajjar, Abdulkader
Alshawaf, Ala’a
Nabhan, Ahmad
Zetani, Bayan
Etr, Aladdin
author_facet Almoshantaf, Mohammad Badr
Swed, Sarya
Hajjar, Abdulkader
Alshawaf, Ala’a
Nabhan, Ahmad
Zetani, Bayan
Etr, Aladdin
author_sort Almoshantaf, Mohammad Badr
collection PubMed
description 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.
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spelling pubmed-93145532022-07-27 Successful management of scalp avulsion with full‐thickness graft Almoshantaf, Mohammad Badr Swed, Sarya Hajjar, Abdulkader Alshawaf, Ala’a Nabhan, Ahmad Zetani, Bayan Etr, Aladdin Clin Case Rep Case Report 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. John Wiley and Sons Inc. 2022-07-25 /pmc/articles/PMC9314553/ /pubmed/35903513 http://dx.doi.org/10.1002/ccr3.6094 Text en © 2022 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Almoshantaf, Mohammad Badr
Swed, Sarya
Hajjar, Abdulkader
Alshawaf, Ala’a
Nabhan, Ahmad
Zetani, Bayan
Etr, Aladdin
Successful management of scalp avulsion with full‐thickness graft
title Successful management of scalp avulsion with full‐thickness graft
title_full Successful management of scalp avulsion with full‐thickness graft
title_fullStr Successful management of scalp avulsion with full‐thickness graft
title_full_unstemmed Successful management of scalp avulsion with full‐thickness graft
title_short Successful management of scalp avulsion with full‐thickness graft
title_sort successful management of scalp avulsion with full‐thickness graft
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314553/
https://www.ncbi.nlm.nih.gov/pubmed/35903513
http://dx.doi.org/10.1002/ccr3.6094
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