TOTAL SCALP REPLANTATION BASED ON ONE ARTERY AND ONE VEIN

A successful replantation of a totally avulsed scalp, including both e yebrows, with only one arterial and one venous anastomosis to the supe rficial temporal vessels is described. Apart from a small partial skin necrosis of the right eyebrow, the entire transplant survived. Subseq uently, the patient required only minor additional skin grafting, corr ection of scars with a skin expander, and reconstruction of the eyebro w with hair micrografts. Replantation of the total scalp based on two or more vessels has previously been recommended and reported elsewhere . In the present case, complete survival of the scalp on only one arte ry and one vein was demonstrated, indicating that replantation should be considered even if available vessels for anastomosis are minimal.