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

Related Articles

Anesthesiology expands comfortable medical services: contributions and challenges

Anesthesiology was born with the need of comfortable medical treatment, and the realization of medical comfort has always been the most fundamental historical mission of anesthesiology. In recent years, the field of an...

Alterations of NR1 expression and phosphorylation in the medial prefrontal cortex during neuropathic pain accompanied by negative emotions

Objective To study alterations of the NR1 subunit of N-methyl-D-aspartate receptors (NMDARs) in the expression and phosphorylation in medial prefrontal cortex (mPFC) brain region under the condition of neuropathic pain...

GSDMD-N mediated hippocampal microglial pyroptosis in a rat model of brain injury after cardiopulmonary resuscitation

Objective To explore the activation and pyroptosis of microglia in the hippocampus after brain injury induced by cardiopulmonary resuscitation (CPR) in rats. Methods A rat model of brain injury after CPR was established...

Nonlinear dynamics research of eye-tracking data in MOOC video learning

Objective To explore the nonlinear dynamics characteristics of eye-tracking data in MOOC video learning. Methods In this study, the sliding window permutation entropy of pupil diameter was calculated, and the obtained...

Nomogram of clinical features of endometriosis-associated ovarian cancer

Objective To construct a nomogram for differential diagnosis of endometriosis-associated ovarian cancer (EAOC). Methods A total of 90 patients diagnosed with ovarian clear cell carcinoma and ovarian endometrioid carcino...

Download PDF file
  • EP ID EP727610
  • DOI -
  • Views 61
  • Downloads 0

How To Cite

QUAN Xin, XUE Ping, TANG Yinke, CHU Feifei, DING Jianke, MA Xianjie (2023). Clinical observation of expanded scalp flap combined with hair follicle transplantation to improve the aesthetic appearance of large area cicatricial alopecia. Journal of Air Force Medical University, 44(7), -. https://www.europub.co.uk/articles/-A-727610