Ectopic scalp replantation: a case report

Area of Science:

• Reconstructive Microsurgery
• Trauma Surgery
• Organ Salvage Techniques

Background:

• Temporary ectopic implantation is a salvage procedure for extremities or organs when direct replantation conditions are unfavorable.
• This technique involves temporarily attaching the avulsed part to a different site on the body before secondary replantation.
• It is particularly useful in cases with compromised vascularity or extensive tissue damage at the anatomic site.

Observation:

• The study presents a case of near-total scalp avulsion.
• The avulsed scalp was temporarily implanted onto the patient's lower abdomen.
• Following this ectopic implantation, a secondary replantation of the scalp to its original anatomic site was performed.

Findings:

• Temporary ectopic implantation to the lower abdomen was successfully utilized for a near-total scalp avulsion.
• This approach facilitated the salvage of the scalp tissue under suboptimal conditions for immediate direct replantation.
• The secondary replantation at the anatomic site was achieved after the period of ectopic storage.

Implications:

• This case demonstrates the efficacy of temporary ectopic implantation as a critical salvage strategy for severe scalp avulsions.
• The technique provides a viable option for preserving tissue viability when direct replantation is not immediately possible.
• It expands the armamentarium for reconstructive microsurgeons dealing with complex traumatic injuries, potentially improving patient outcomes.