Feasibility of Platelet Rich Plasma Use in Hair Transplantation in Treatment of Post Burn Scar | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Article 7, Volume 46, Issue 3, July 2022, Page 247-255 PDF (14.26 MB) | ||||
| Document Type: Research article | ||||
| DOI: 10.21608/ejprs.2022.254714 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mostafa M. Rezk  ; Gamal E. Al Habaa; Mostafa A. El Sayed; Khaled Abu Kahla*
| ||||
| The Department of General Surgery, Faculty of Medicine, Benha University | ||||
| Abstract | ||||
| Background: Management of post burn alopecia has been an obstacle to plastic surgeons nowadays, there is variable surgical methods which makes it difficult to choose the suitable treatment for each patient. Objective: To assess the feasibility of platelet rich plasma use in hair transplantation in treatment of post burn scar alopecia to choose of the suitable treatment algorithm for this type of deformity to obtain the highest possible patient satisfaction rate with the least-possible complication rate. Methods: This prospective clinical study was conducted in Benha University Hospitals, Plastic and Burn Surgery Department in the period between January 2021 and January 2022. 20 patients with post burn alopecia were included in the study. Patients were randomized using envelop method into two groups, where each group contains 10 patients as follows: Group A: Patients received local intradermal PRP injections one week before hair transplantation followed by two injections 2 and 4 weeks postoperatively. Group B (Control group): Patients underwent hair transplantation only without any kind of local injections. Results: Using this procedure is less invasive, less expensive with less post-operative burden on the patients. However, it requires special skills for proper harvesting and inserting of follicular grafts. Operative time and number of sessions were reasonable and convenient to the patients. Complications were quite mild and acceptable to the patients. Conclusion: It was concluded that using PRP in FUE is useful in treatment of post burn alopecia, hair transplantation has less hazards during anesthesia, less post-operative complications and shorter recovery time than the other procedures of hair restoration. | ||||
| Keywords | ||||
| Platelet rich plasma; Hair transplantation; Post burn scar | ||||
| References | ||||
|
1- Pratt C., King J., Messenger A., Christiano A. and Sundberg J.: Alopecia areata. Nat. Rev. Dis. Primers, 16; (3): 17011. 2017. 2- Alshahat O., Taha A. and Abdulaziz M.: Assessment the Role of Platelet Rich Plasma in Follicular Unit Extraction Hair Transplantation. Al-Azhar International Medical Journal, 1 (5): 140-151, 2020. 3- Dhurat R. and Sukesh M.: Principles and Methods of Preparation of Platelet-Rich Plasma: A Review and Author's Perspective. J. Cutan Aesthet. Surg., Vol. 7 (4): pp. 189-197, 2014. 4- Farjo B., Farjo N. and Williams G.: Hair transplantation in burn scar alopecia. Scars Burn Heal., Vol. 1: 2059513, pp. 115607764, 2015. 5- Saeed M., Hoota A. and Khallaf A.: Follicular Unit Extraction in Management of Secondary Cicatricial Alopecia. Al-Azhar International Medical Journal, 2 (8): 11-17. 2021. 6- Garg A. and Garg S.: Donor Harvesting: Follicular Unit Excision. J. Cutan Aesthet. Surg., 11 (4): 195-201, 2018. 7- Lin M., Lin C., Hu S. and Chung W.: Progress in the Use of Platelet-rich Plasma in Aesthetic and Medical Dermatology. J. Clin. Aesthet. Dermatol., 13 (8): 28-35, 2020. 254 Vol. 46, No. 3 / PRP Use in Hair Transplantation for Post Burn Scar Egypt, J. Plast. Reconstr. Surg., July 2022 255 8- Mannava S., Chahla J., Geeslin A., Cinque M., Whitney K., Evans T., Frangiamore, Salvatore J., LeBus G., Godin J., LaPrade R. and Philippon M.: Platelet-Rich Plasma Augmentation for Hip Arthroscopy. Arthroscopy Techniques, 6 (3): e763-e768, 2017. 9- Saxena D., Kuldeep S., et al.: “Successful Hair Transplant Outcome in Cicatricial Lichen Planus of the Scalp by Combining Scalp and Beard Hair Along With Platelet Rich Plasma.” Journal of cutaneous and aesthetic surgery, Vol. 9 (1): pp. 51-5, 2016. 10- Shao H., Hang H., Yunyun J., Hongfei J., Chunmao H., Zhang J. and X. Guo: Follicular unit transplantation for the treatment of secondary cicatricial alopecia. Plastic Surgery, Vol. 22 (4): pp. 249-253, 2014. 11- Hassan I., Abdullah Z. and Jeelani S.: Hair Transplantation in Cicatricial Alopecia: A Preliminary Report, 2014 | ||||
|
Statistics Article View: 155 PDF Download: 261 |
||||
