Microsurgical reconstruction of major scalp defects following scalp avulsion
Introduction: Total scalp avulsion is a serious injury, commonly occurring in Indian females working with industrial and agricultural machines. Their long hairs often get caught in a rapidly revolving machines, resulting in total avulsion of scalp. Lack of education and awareness in Indian villages...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2013-01-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.ijps.org/article.asp?issn=0970-0358;year=2013;volume=46;issue=3;spage=486;epage=492;aulast=Kalra |
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| author | Gurdayal Singh Kalra Pradeep Goil Pranay S Chakotiya |
| author_facet | Gurdayal Singh Kalra Pradeep Goil Pranay S Chakotiya |
| author_sort | Gurdayal Singh Kalra |
| collection | DOAJ |
| description | Introduction: Total scalp avulsion is a serious injury, commonly occurring in Indian females working with industrial and agricultural machines. Their long hairs often get caught in a rapidly revolving machines, resulting in total avulsion of scalp. Lack of education and awareness in Indian villages often result in these patients coming late to the hospitals when replantation is not possible and scalp reconstruction remains the only available option. Materials and Methods: We performed our study on 22 cases of scalp avulsion injury presented to us between June 2007 and April 2012 at Department of Burn, Plastic & Reconstructive Surgery, SMS Hospital, Jaipur. In all of them a free tissue transfer was performed as an elective procedure. Results: Twenty two patients underwent free tissue transfer and followed up for an average period of 6 months. All patients included in this study were females with mean age of 28 yrs. Five patients in our study reported with partial necrosis of the free flaps which were subsequently managed with split-thickness skin graft (STSG). Two patients reported total necrosis of the flap which was re-operated using latissimus dorsi along with serratus anterior muscle (LDSA) from the contralateral side. Conclusion: As scalp avulsion because of rapidly rotating machine leads to large size defect not amenable for local tissue reconstruction. We performed reconstruction using LDSA and omental free flaps with split thickness skin graft (STSG) for large scalp defect and achieved good and stable soft tissue cover with satisfactory cosmesis. |
| format | Article |
| id | doaj-art-9a0bd65b5b104129bd19c6d24f503b35 |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-9a0bd65b5b104129bd19c6d24f503b352025-08-20T02:00:41ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2013-01-0146348649210.4103/0970-0358.121984Microsurgical reconstruction of major scalp defects following scalp avulsionGurdayal Singh KalraPradeep GoilPranay S ChakotiyaIntroduction: Total scalp avulsion is a serious injury, commonly occurring in Indian females working with industrial and agricultural machines. Their long hairs often get caught in a rapidly revolving machines, resulting in total avulsion of scalp. Lack of education and awareness in Indian villages often result in these patients coming late to the hospitals when replantation is not possible and scalp reconstruction remains the only available option. Materials and Methods: We performed our study on 22 cases of scalp avulsion injury presented to us between June 2007 and April 2012 at Department of Burn, Plastic & Reconstructive Surgery, SMS Hospital, Jaipur. In all of them a free tissue transfer was performed as an elective procedure. Results: Twenty two patients underwent free tissue transfer and followed up for an average period of 6 months. All patients included in this study were females with mean age of 28 yrs. Five patients in our study reported with partial necrosis of the free flaps which were subsequently managed with split-thickness skin graft (STSG). Two patients reported total necrosis of the flap which was re-operated using latissimus dorsi along with serratus anterior muscle (LDSA) from the contralateral side. Conclusion: As scalp avulsion because of rapidly rotating machine leads to large size defect not amenable for local tissue reconstruction. We performed reconstruction using LDSA and omental free flaps with split thickness skin graft (STSG) for large scalp defect and achieved good and stable soft tissue cover with satisfactory cosmesis.http://www.ijps.org/article.asp?issn=0970-0358;year=2013;volume=46;issue=3;spage=486;epage=492;aulast=KalraLatissimus dorsi with serratus anterior flapscalp avulsion injuryscalp reconstruction |
| spellingShingle | Gurdayal Singh Kalra Pradeep Goil Pranay S Chakotiya Microsurgical reconstruction of major scalp defects following scalp avulsion Indian Journal of Plastic Surgery Latissimus dorsi with serratus anterior flap scalp avulsion injury scalp reconstruction |
| title | Microsurgical reconstruction of major scalp defects following scalp avulsion |
| title_full | Microsurgical reconstruction of major scalp defects following scalp avulsion |
| title_fullStr | Microsurgical reconstruction of major scalp defects following scalp avulsion |
| title_full_unstemmed | Microsurgical reconstruction of major scalp defects following scalp avulsion |
| title_short | Microsurgical reconstruction of major scalp defects following scalp avulsion |
| title_sort | microsurgical reconstruction of major scalp defects following scalp avulsion |
| topic | Latissimus dorsi with serratus anterior flap scalp avulsion injury scalp reconstruction |
| url | http://www.ijps.org/article.asp?issn=0970-0358;year=2013;volume=46;issue=3;spage=486;epage=492;aulast=Kalra |
| work_keys_str_mv | AT gurdayalsinghkalra microsurgicalreconstructionofmajorscalpdefectsfollowingscalpavulsion AT pradeepgoil microsurgicalreconstructionofmajorscalpdefectsfollowingscalpavulsion AT pranayschakotiya microsurgicalreconstructionofmajorscalpdefectsfollowingscalpavulsion |