A Clinical Experience of Total Scalp Avulsion in a Male

Song,  Jennifer Kim; Kim,  Min Wook; Hwang,  So Min; Lim,  Kwang Ryeol; Jung,  Yong Hui; Ahn,  Sung Min

doi:2011.20.1.74

Arch Hand Microsurg > Volume 20(1); 2011 > Article

Case Report

Journal of the Korean Society for Surgery of the Hand 2011;20(1):74-77.
Published online May 31, 2011.
DOI: https://doi.org/10.12790/jkssh.2011.20.1.74

A Clinical Experience of Total Scalp Avulsion in a Male

Jennifer Kim Song, M.D., Min Wook Kim, M.D., So Min Hwang, M.D., Kwang Ryeol Lim, M.D., Yong Hui Jung, M.D., Sung Min Ahn, M.D.

Hand and Microsurgery Center, Good Moonhwa Hospital, Korea. sominhwang@hanmail.net

남성에서 두피 전층 결출 손상의 치험례

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Abstract

Total scalp avulsion is rare but a devastating injury. This condition burdens the patient with disfigured cosmetic appearance and permanent psychosocial trauma. Throughout history, this condition has been favored in women working with mechanics since the long hair function as a vector appliance for oblique pull of the hair into a stationary torque. We present our experience of the replantation of the total avulsed scalp in male, first to be reported in Korea. Warm ischemic time was exceeding 16 hours along with severe crushed condition of the detached margin, a relatively satisfactory result was obtained.

Key Words: Scalp, Avulsion, Replantation, Male