Scalp avulsion due to an accident
Total scalp avulsion is a rare but potentially devastating traumatic injury. It most commonly results from the entrapment of long hair in high-speed rotary parts of industrial machinery, although it has also occurred as a result of dogbites and assaults. Due to sharp force applied, these injuries tend to follow similar lines of least resistance along the insertions of the frontalis and temporalis muscles anteriorly, and the occipitalis muscle posteriorly. When tearing through the skin above these insertions, the avulsed portion may include the eyebrows as well as all or part of the ears that goes deep enough to include some parts of the periosteum. When treated properly, very good reconstructive results can be achieved. There are various methods of replantation of the scalp with vascular repair by reanastomosis of the arteries or veins that have been torn to achieves a sufficient arterial reperfusion.
What would be the initial and priority intervention fro this case?
I'd be interested to see her "After" Photos. No doubt that Surgeons did Amazing work!!
