Clinical observation of expanded scalp flap combined with hair follicle transplantation to improve the aesthetic appearance of large area cicatricial alopecia
Journal Title: Journal of Air Force Medical University - Year 2023, Vol 44, Issue 7
Abstract
Objective To explore the effect of reasonable design of rotating scalp flap combined with hair transplantation on the edge of skin flap to improve the aesthetic appearance of expanded scalp transfer in the treatment of cicatricial alopecia. Methods From July 2018 to October 2021, a total of 18 patients (14 males and 4 females) with cicatricial alopecia were repaired with scalp expander in Department of Plastic Surgery, Xijing Hospital, Air Force Medical University, with an average age of 26. 3 years. After the original wound was covered and healed, the appropriate size and number of dilators were selected according to the baldness area, location and hair growth in the adjacent area, and the primary dilator was implanted in the normal hair area around the alopecia. Regular water injection was implemented to achieve satisfactory expansion. The scalp tissue in the cicatricial alopecia was removed by two-stage operation, and local advance and transposition rotation flap were reasonably designed to repair the wound after scar resection. Hair follicle transplantation was performed in all 18 patients in small areas such as the flap edge and hairline area after flap transposition. Results There were 2 major (11. 1% ) and 1 secondary (5. 5% ) complications. Follow-up observation after reconstruction of expanded scalp flap combined with hair follicle transplantation showed that the expanded scalp flap survived well, the hair distribution was uniform, the hair density was good, the linear scar at the edge of the expanded scalp was not obvious, and the hair growth direction in the hairline was natural. Conclusion The use of expanded scalp flap combined with marginal hair follicle transplantation can improve the aesthetic details after the repairment of large area cicatricial alopecia.
Authors and Affiliations
QUAN Xin, XUE Ping, TANG Yinke, CHU Feifei, DING Jianke, MA Xianjie
Keywords
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