Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al.
  Table of Contents / Chapter 9:
Scalp Transplantation Between Twins

FIG. 9-18. The scalp flap developed venous congestion, relieved by use of medicinal leeches for 6 days.

FIG. 9-19. Long-term follow-up. The donor twin (right) had no residual alopecia after revision of second-stage scar.

FIG. 9-20. No sequelae developed from the occipital expansion.

FIG. 9-21. The right lateral view of the donor twin and frontal view of recipient show donor and recipient areas. The donor scar is alopecic, but easily covered.

FIG. 9-22. Lateral view of recipient with fairly full head of hair. This case illustrates the use of multiple homologous transplants and tissue expansion.


1. Alpert, B.S., Buncke, H.J., and Mathes, J.S.: Surgical treatment of the totally avulsed scalp. Clin. Plast. Surg. 9:145, 1982.

2. Buncke, H.J., Rose, E.H., Brownstein, M.J., and Chater, N.J.: Successful replantation of two avulsed scalps by microvascular anastomoses. Plast. Reconstr. Surg. 61:666, 1978.

3. Miller, G.D.H., Anstee, E.J., and Snell, J.A.: Successful replantation of an avulsed scalp by microvascular anastomoses. Plast. Reconstr. Surg. 58:133, 1976.


4. Nahai, F., Hurteau, J., and Vasconez, L.O.: Replantation of an entire scalp and ear by microvascular anastomoses of only 1 artery and 1 vein. Brit. J. Plast. Surg. 31:339, 1978.

5. Spira, M., Daniel, R.K., and Argris, J: Successful replantation of totally avulsed scalp, with profuse regrowth of hair. Plast. Reconstr. Surg. 62:447, 1978.

6. Van Beek, A.L., and Zook, E.G.: Scalp replantation by microsurgical revascularization. Plast. Reconstr. Surg. 61:774, 1978.

7. Gatti, J.E., and LaRossa, D.: Scalp avulsions and review of successful replantation. Ann. Plast. Surg. 6:127, 1981.

8. Hentz, V.R., Palma, C.R., Elliott, E., et al.: Successful replantation of a totally avulsed scalp following prolonged ischemia. Ann. Plast. Surg. 7:145, 1981.

9. Harii, K., Ohmori, K., and Ohmori, S.: Hair transplantation with free scalp flaps. Plast. Reconstr. Surg. 53:410, 1974.

10. Elliott, R.A.: Lateral scalp flaps for instant results in male pattern baldness. Plast. Reconstr. Surg. 60:699, 1977.

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