Microvascular replantation of scalp and facial parts
Kind, G.M.; Buncke, H.J.; Muncke, G.M.; Schreiber, J.S.; Siko, P.; Venter, T.H.
Surgical Technology International Iv: 400-408
1995
ISSN/ISBN: 1090-3941 PMID: 21400465 Document Number: 444968
Replantation of fingers, hands, feet, and extremities has become a relatively common procedure. There are a number of reports of successful replants of facial parts. Since the feeding vessels are extremely small, these replants are most challenging. Venous outflow is the most common problem, and leeches and anticoagulants are commonly needed, resulting in considerable blood loss and transfusions. Nonetheless, the successful replantation of a facial part yields an aesthetic and functional result far superior to any other reconstructive option. We review our experience with 7 scalps, 4 ears, and 2 lips.