Moreno-Arias G A, Camps-Fresneda A
Department of Dermatology, General Hospital of Catalonia, Sant Cugat del Valleś, Spain.
Dermatol Surg. 1999 May;25(5):412-4. doi: 10.1046/j.1524-4725.1999.08277.x.
Hair micrografting has been widely used in male and female androgenetic alopecia but there is little experience with cicatricial or burn alopecia.
To evaluate the clinical outcome of a case of postburn alopecia with marked inelastic affected areas but with good elasticity and hair density over occipital donor site, treated with multiple sessions of hair micrografting.
Single-hair micrografts were employed to reconstruct the hair line but 2- and 3-hair micrografts were implanted over other alopecic areas. Grafts were placed into oblique slits made with N degrees 15 scalpel blade bevelled due to reduced dermis in the recipient area. Donor site was closed with vertical mattress and running suture with 3-0 silk.
In 4 sessions 6500 micrografts were implanted into the affected areas, achieving a natural appearing hair line and a good cosmetic result.
Hair micrografting is a promising restorative technique for inelastic plaques of postburn alopecia.
毛发微移植已广泛应用于男性和女性雄激素性脱发，但在瘢痕性或烧伤后脱发方面经验较少。
评估多疗程毛发微移植治疗1例烧伤后脱发患者的临床效果，该患者受影响区域弹性明显降低，但枕部供区弹性良好且毛发密度正常。
采用单根毛发微移植重建发际线，但在其他脱发区域植入2根和3根毛发的微移植体。由于受区真皮层变薄，将移植体植入用15号手术刀斜切制成的斜切口中。供区用3-0丝线间断垂直褥式缝合和连续缝合关闭。
在4个疗程中，向受影响区域植入了6500个微移植体，形成了自然的发际线，美容效果良好。
毛发微移植是治疗烧伤后脱发无弹性斑块的一种有前景的修复技术。
