Staged reconstructive treatment for extensive irregular cicatricial alopecia after burn
| Autor: | Liang Tang, Songjia Tang, Hanxiao Cheng, Jinsheng Li, Zhongxin Sun, Xiaoxin Wu, Jufang Zhang, Ming Jia, Jinghe Zhou, Haiyan Shen |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Esthetics Dermatologic Surgical Procedures Observational Study 030230 surgery Surgical Flaps 030207 dermatology & venereal diseases 03 medical and health sciences Cicatrix Young Adult 0302 clinical medicine Patient satisfaction Hematoma medicine Humans tissue expansion staged treatment Stage (cooking) hair transplantation Hair transplantation Child Survival rate Retrospective Studies Scalp cicatricial alopecia integumentary system business.industry Tissue Expansion Devices Alopecia General Medicine Skin Transplantation medicine.disease Surgery medicine.anatomical_structure Patient Satisfaction Female Implant business Burns Hair Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | For extensive irregular cicatricial alopecia after burn, effective and pleasing restoration of hair-bearing scalp remains challenging. In this article, the authors presented staged reconstructive treatment for extensive irregular cicatricial alopecia with the goal to achieve better and reliable results. A retrospective review of staged reconstructive treatment performed in 16 patients with extensive irregular cicatricial alopecia after burn was conducted. In stage 1, final flaps were designed at 1st. Tissue expanders were placed into the subgaleal plane and serially inflated with normal saline. In stage 2, scarring tissues were excised and the expanded hair-bearing flaps were advanced to the defect. Hair grafts were harvested from excessive hair-bearing scalps excised from the flaps and replanted. For patients with less satisfactory results, stage 3 was performed by hair transplantation. Cicatricial area, follicular unit density, survival rate of hair grafts, and patients’ satisfaction were measured before and after each stage. Thirteen patients received 3-stage treatment, and 3 received 2-stage treatment. Significant improvements in aesthetics and patient satisfaction were achieved in all the patients. No flap necrosis, implant exposure or hematoma was observed. Ideal, aesthetic, and reliable results could be obtained using staged reconstructive treatment for patients with extensive irregular cicatricial alopecia after burn. |
| Databáze: | OpenAIRE |
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