Follicular Unit Transplantation Versus Scalp Expansion in Management of Secondary Cicatricial Alopecia | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Article 18, Volume 44, Issue 2, April 2020, Page 379-386 PDF (22.24 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2020.113505 | ||||
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| Authors | ||||
| Amr Ads* 1; Mahmoud Abdel Nabi Saeed2; Ahmed Abo Hashem Azzab Moossa2; Mohamed Hassan Abdel Aal2 | ||||
| 1The Department of Plastic Surgery , Al-Shorouq Police Hospital, Cairo, Egypt | ||||
| 2The Department of Plastic & Reconstructive Surgery , Faculty of Medicine, Zagazig University, Egypt | ||||
| Abstract | ||||
| Background: The bad impact of cicatricial alopecia among population leads to increase the desire of correcting that type of hair loss. There are many methods of hair restoration, but the efficacy of each, its indications and the possible hazards hasn't yet been clearly identified. Objective: To evaluate the use of two different techniques for hair restoration in patients with secondary cicatricial alopecia. Either using follicular unit extraction (FUE) or scalp < br />expanders (SE) to correct the deformity depending upon many factors (Inclusion & Exclusion criteria). Indications, operative time, Aesthetic outcome and complications are to be discussed. Patients and Methods: This study included 30 patients who were grouped into two populations. The first one (Group < br />A) those who underwent FUE included 13 cases while the second group was SE (Group B) included 17. All of them were suffering from secondary cicatricial alopecia and they were grouped according to the surface area of the alopecia. Results: The mean value of the surface area of alopecia was significantly larger in the SE group than FUE group with a p-value <0.001. Post-operative recovery was nearly similar apart from being faster gain in group B and better hair density. Conclusion: In management of secondary cicatricial alopecia, many factors affect surgical planning. Both FUE and SE are very useful tools in managing those patients when properly selected and tailored to the patient | ||||
| Keywords | ||||
| Follicular unit; Transplantation; Scalp expansion | ||||
| References | ||||
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1- Ross E.K., Tan E. and Shapiro J.: Update on primary cicatricial alopecias. Journal of the American Academy of Dermatology, 53 (1): 1-37, 2005. 2- Tan E., Martinka M., Ball N. and Shapiro J.: Primary cicatricial alopecias: Clinicopathology of 112 cases. Journal of the American Academy of Dermatology, 50 (1): 25-32, 2004. 3- Sowjanya C.L., Rao T.N., Guruprasad P. and Khopkar U.: Clinico-pathological study of acquired primary cicatricial alopecia. Journal of Dr. NTR University of Health Sciences, 1 (1): 21, 2012. 4- Dahdah M.J. and Iorizzo M.: The role of hair restoration surgery in primary cicatricial alopecia. Skin Appendage Disorders, 2 (1-2): 57-60, 2016. 5- Leedy J.E., Janis J.E. and Rohrich R.J.: Reconstruction of acquired scalp defects: An algorithmic approach. Plastic and Reconstructive Surgery, 116 (4): 54-72, 2005. 6- Dua A. and Dua K.: Follicular unit extraction hair transplant. Journal of Cutaneous and Aesthetic Surgery, 3 (2): 76, 2010. 7- El-Saadi M.M. and Nasr M.A.: The effect of tissue expansion on skull bones in the pediatric age group from 2 to 7 years. Journal of Plastic, Reconstructive & Aesthetic Surgery, 61 (4): 413-418, 2008. 8- Barr L. and Barrera A.: Use of hair grafting in scar camouflage. Facial Plast. Surg. Clin North Am., 19: 559- 68, 2011. 9- Abo-Zeid M.A., Elmaddawy A.E.A., El-Fahar M.H. and El-Sabbagh A.H.: Selective scalp nerve block: A useful technique with tissue expansion in postburn pediatric alopecia. Ann. Plast. Surg., 80 (2): 113-120, 2018. 10- Shau H., Hang H., Yunyun J., Hongfei J., Chunmao H., Zhang J. and Guo X.: Follicular unit transplantation for the treatment of secondary cicatricial alopecia. Plastic Surgery, 22 (4): 249-253, 2014. 11- Tayyaba F., Amin M.M., Attaur-Rasool S., Naseer U. and Ambar A.: Reconstruction of post burn scalp alopecia by using expanded hair-bearing scalp flaps. Pakistan Journal of Medical Sciences, 31 (6): 1405, 2015. 12- Handschel J., Schultz S., Depprich R.A., Smeets R., Sproll C., Ommerborn M.A. and Zimmermann A.: Tissue expanders for soft tissue reconstruction in the head and neck area requirements and limitations. Clinical Oral Investigations, 17 (2): 573-578, 2013. 13- Chen H., Cheng H., Shen H., Li J., Jia M., Wang Y. and Zhang J.: Scalp soft tissue expansion combined with follicular unit extraction for postburn cicatricial alopecia: A single center experience of 48 patients. Int. J. Clin. Exp. Med., 10 (1): 774-780, 2017. 14- Qing Y., Cen Y. and Liu Y.: Prevention and treatment of postoperative complications after skin soft tissue expansion for scar alopecia. Chinese Journal of Reparative and Reconstructive Surgery, 20 (12): 1193-1195, 2006. 15- Saleh Y., Hafezi F., Naghibzadeh B. and Pegahmer M.: Scalp reconstruction using tissue expander. Egypt J. Plast. Reconstr., 28 (1): 71-75, 2004. 16- Oh S.J., Koh S.H., Lee J.W. and Jang Y.C.: Expanded flap and hair follicle transplantation for reconstruction of postburn scalp alopecia. J. of Craniofacial Surg., 21 (6): 1737- 1740, 2010. 17- Drissi H.Q., Nassih M., Rzin A. and Jidal B.: Skin Expansion in cicatricial alopecia of the scalp: 18 cases. Revue de stomatologieet de chirurgie maxilla-faciale, 108 (5): 411-418, 2007 | ||||
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