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Date Published: 26/12/2025
Abstract Views: 108
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DOI: https://doi.org/10.51298/vmj.v557i1.16623
Issue
Vol. 557 No. 1 (2025)
Section
Các bài báo
How to Cite
Lưu, P. L., Phạm, N. M., & Lê, K. N. (2025). CASE REPORT: TOTAL SCALP AVULSION RECONSTRUCTION WITH EXPOSED SKULL BONE BY EXTENDED LOWER TRAPEZIUS MUSCULOCUTANEOUS FLAP AND SPLIT THICKNESS SKIN GRAFT. Vietnam Medical Journal, 557(1). https://doi.org/10.51298/vmj.v557i1.16623

CASE REPORT: TOTAL SCALP AVULSION RECONSTRUCTION WITH EXPOSED SKULL BONE BY EXTENDED LOWER TRAPEZIUS MUSCULOCUTANEOUS FLAP AND SPLIT THICKNESS SKIN GRAFT

Phương Lan Lưu, Ngọc Minh Phạm, Kim Nhã Lê

Main Article Content

Abstract

Total scalp avulsion is a severe injury that can occur due to occupational accidents, particularly in Vietnam where workplace safety measures are not yet adequately emphasized. Many authors in Vietnam have reported successful microsurgical replantation of avulsed scalp tissue, resulting in both functional and aesthetic benefits. At 108 Military Central Hospital, we report a case in which the avulsed scalp could not be brought to the hospital. The patient presented with a total scalp defect extending from the upper eyelid to the occipital region, with exposed skull bone in the parietal and occipital areas. We successfully reconstructed the entire scalp using an extended trapezius musculocutaneous flap to cover the exposed parieto-occipital bone, and performed skin grafting for the remaining defect areas.

Article Details

Keywords

extended lower trapezius musculocutaneous flap, total scalp avulsion injury

References

Total scalp avulsion reconstruction with acellular dermal matrix and split thickness skin graft: A case report. Oral Maxillofac Surg Cases. 2023;9(3):100324.
2. Herrera F, Buntic R, Brooks D, Buncke G, Antony AK. Microvascular approach to scalp replantation and reconstruction: a thirty-six year experience. Microsurgery. 2012;32(8):591-597.
3. MacLean AC, Ladak A, Snelgrove R, Wang H, Power H, Bradley NL. Severe traumatic scalp avulsion requiring an uncommon reconstruction: omental free tissue transfer flap. Trauma Surgery & Acute Care Open. March 8, 2022. Accessed August 3, 2025.
4. S P, P L, I T, A T, S S. Successful management of severe scalp avulsion injury: a case report and review of surgical interventions. Journal of surgical case reports. September 18, 2024. Accessed August 3, 2025.
5. Hiệp NĐ, Tiến PP, Tuấn VM, Lâm HQ, Đạt LP. Báo cáo 1 trường hợp nối thành công lóc toàn bộ da đầu. Tạp Chí Học Thảm Hoạ Và Bỏng. 2025;(1):122-127.
6. Xie T, Wang M, Zang M, et al. Inclusion of a latissimus dorsi segment in an extended lower trapezius musculocutaneous flap facilitates complex defect reconstruction. J Plast Reconstr Aesthet Surg. 2022;75(9):3155-3165.
7. Nguyên NĐ, Chiến DM. Kết quả bước đầu sử dụng vạt cơ thang tạo hình tổn khuyết do ung thư vùng đầu cổ lưng. Tạp Chí Nghiên Cứu Học. 2022;155(7):110-119.