Abstract:
Background :
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 esthetic and functional
results are achieved. Skin grafting, free flaps, microvascular surgery,
and hyperbaric oxygen are all suitable for reconstructive plans.
Case presentation :
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.
Conclusion :
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.