BMJ Case Reports 2017; doi:10.1136/bcr-2017-220605
  • Unusual presentation of more common disease/injury

Vascular consideration in repair of total scalp avulsion

Open Access
  1. Toshiharu Minabe2
  1. 1Department of Plastic Surgery, Yamanashi Daigaku Igakubu, Chuo, Yamanashi, Japan
  2. 2Department of Plastic Surgery, Saitama Ika Daigaku Sogo Iryo Center, Kawagoe, Saitama, Japan
  1. Correspondence to Dr Jun Karibe, jkaribe{at}
  • Accepted 11 October 2017
  • Published 24 October 2017


Successful total scalp replantation was performed in our case. Based on the angiosome concept and anatomical study, the avulsed scalp survived with unilateral anastomosis of the superficial temporal artery and superficial temporal vein, largely due to the presence of rich arterial and venous arcades in the scalp. The patient currently has no problems with activities of daily living, although total hypoaesthesia and dysfunction of the left frontal muscle of the forehead are present. In addition, the combined findings of hair growth pattern indicated the vascular territories of the scalp skin.


  • Contributors Both authors contributed to the planning, conduct and reporting of the work described in the article.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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