Charlie Demarteleire, Anne-Sophie Henry, Wycal Saraoui, Marion Rouanet, Anne Perruisseau-Carrier, Weiguo Hu
{"title":"A potential long-term complication to two-segment total scalp replantation and how to treat it","authors":"Charlie Demarteleire, Anne-Sophie Henry, Wycal Saraoui, Marion Rouanet, Anne Perruisseau-Carrier, Weiguo Hu","doi":"10.1016/j.cjprs.2023.05.004","DOIUrl":null,"url":null,"abstract":"<div><p>Total avulsion of the scalp is a serious traumatic injury and an absolute surgical emergency. Despite well-stocked literature on its immediate care, there is insufficient literature regarding its long-term complications. Here, we describe the case of a patient who developed chronic pain 24 months after replantation. The patient underwent several needle rigotomy sessions associated with lipofilling to reconstruct a sliding plane between the scalp and periosteum, followed by nanofat sessions to improve skin elasticity. This autologous fat injection treatment was successful, and the patient is currently pain-free. Therefore, lipofilling followed by nanofat injection is an effective treatment for this complication.</p></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"5 2","pages":"Pages 60-63"},"PeriodicalIF":0.0000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Chinese Journal of Plastic and Reconstructive Surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2096691123000328","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Total avulsion of the scalp is a serious traumatic injury and an absolute surgical emergency. Despite well-stocked literature on its immediate care, there is insufficient literature regarding its long-term complications. Here, we describe the case of a patient who developed chronic pain 24 months after replantation. The patient underwent several needle rigotomy sessions associated with lipofilling to reconstruct a sliding plane between the scalp and periosteum, followed by nanofat sessions to improve skin elasticity. This autologous fat injection treatment was successful, and the patient is currently pain-free. Therefore, lipofilling followed by nanofat injection is an effective treatment for this complication.
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