Abstract

Background

Microsurgical replantation has become the most favorable treatment option for scalp avulsion. However, the accurate prediction of postoperative replant viability remains challenging.

Case presentation

In this article, we showed that (indocyanine green angiography, ICGA) can provide a much more precise prediction of replant necrosis than conventional clinical assessment in a rare case of complete scalp avulsion with prolonged ischemia time.

Conclusion

Clinical assessment of replant survival may be misleading in cases of complex tissue injuries and prolonged ischemic stress. This case provides insight into the promising utility of ICGA as an important adjuvant tool to better assess tissue perfusion and viability in scalp avulsion and possibly other types of replantation.

Details

Title
A case of scalp avulsion with prolonged ischemic time: indocyanine green angiography can aid in predicting replant survival
Author
Huang, Xin; Wang, Zhichao; Liu, Caiyue; Gu, Shuchen; Gao, Yashan; Xu, Xiangwen; Zan, Tao
Pages
1-5
Section
Case report
Publication year
2019
Publication date
2019
Publisher
Oxford University Press
ISSN
23213868
e-ISSN
23213876
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2328553539
Copyright
© 2019. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.