NDLI: Expanded flap and hair follicle transplantation for reconstruction of postburn scalp alopecia.

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Expanded flap and hair follicle transplantation for reconstruction of postburn scalp alopecia.

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Expanded flap and hair follicle transplantation for reconstruction of postburn scalp alopecia.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Jang, Young Chul Koh, Sung Hoon Lee, Jong Wook Oh, Suk Joon
Description	Author Affiliation: Oh SJ ( Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital Hallym University Medical Center, Gyeonggi-do, Republic of Korea. sjoh@hallym.or.kr)
Abstract	The advent of tissue expansion started a new era of aesthetically reconstructed scalp alopecia by providing a large hair-bearing scalp area with acceptable hair density. However, residual scalp alopecia and wide visible scars still raised aesthetic problems. The hair follicle transplantation carries the possibility of producing a more natural scalp because both the desired hair density and the natural direction of the hair can be reproduced using this procedure. Our study group consisted of 62 patients (41 males and 21 females) with a mean age of 26.3 years. The median age of suffering a burn to the scalp was 3 years. The causes of burn resulting to scalp alopecia were flame (n = 28), scald (n = 18), contact (n = 7), and electrical (n = 9) injuries. The first reconstruction for all patients was the expanded flap coverage. Three patients used 2-stage expanded flaps. Five patients underwent hair follicle transplantation after they had undergone the expanded flap coverage. Expanders (n = 86) were placed in 62 patients with a total of 9 major (9.3%) and 3 minor (3.5%) complications. The overall results after expanded flap reconstruction and hair follicle transplantation were excellent (43 patients, 69.4%), good (18 patients, 29%), and bad (1 patient, 1.6%). Postburn scalp alopecia can be reconstructed by 1-stage or multiple-stage expanded flap procedures. The visible remaining alopecia and marginal scar after the procedure, especially on the anterior hairline of the forehead and the sideburns, can be refined by hair follicle transplantation. This report also suggests the possibility that cicatrical scalp alopecia with intact deep tissue can be restored by hair follicle transplantations using hair transplanter.
ISSN	10492275
Issue Number	6
Volume Number	21
e-ISSN	15363732
Journal	Journal of Craniofacial Surgery
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2010-11-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Alopecia Surgery Burns Complications Hair Follicle Transplantation Reconstructive Surgical Procedures Methods Scalp Injuries Surgical Flaps Pathology Tissue Expansion Abscess Etiology Adolescent Adult Burns, Electric Child Child, Preschool Cicatrix Device Removal Esthetics Female Hematoma Humans Male Middle Aged Patient Satisfaction Postoperative Hemorrhage Surgical Wound Infection Tissue Expansion Devices Adverse Effects Treatment Outcome Young Adult Journal Article Discipline Medicine Discipline Otorhinolaryngology Discipline Surgery
Content Type	Text
Resource Type	Article
Subject	Otorhinolaryngology Surgery

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