Department of Plastic, Reconstructive and Aesthetic Surgery, Gulhane Military Medical Academy, Ankara, Turkey.
Int J Dermatol. 2011 Jun;50(6):736-9. doi: 10.1111/j.1365-4632.2010.04816.x.
The mini- and micro-grafting method is still one of the most current treatment methods for male pattern baldness and female androgenic alopecia. The preparation of the recipient area with 16G needle has been reported in the literature. However, during the insertion of grafts, the neighboring grafts tend to `pop out'. The study presents our experience in the hair implantation for recipient site preparation with 16G epidural needle.
The 16G epidural needle was used during preparation of the recipient field in eight patients. Approximately 500 micrografts were grafted in each patient to reconstruct the anterior hairline.
During insertion of the micrografts, almost none of the previously inserted grafts tended to `pop out'. The anterior hairline of the patients was natural without obvious scarring. The mean follow-up period of these patients was 1.5 years. The amount of graft survival was found to be satisfactory.
According to the surgeon's clinical observations, application of this technique was found to be easier than standard needle techniques. It can be used by inexperienced surgeons. Use of epidural needle for recipient hole preparation works well in reducing the popping out, and the curved fashion of the holes reduced the angle of the hair follicle.
微创毛发移植术仍是治疗男性型秃发和女性雄激素性脱发的最常用方法之一。文献中已有报道使用 16G 针制备受区。然而，在移植过程中，相邻的移植体往往会“弹出”。本研究介绍了我们使用 16G 硬膜外穿刺针进行受区准备的毛发移植经验。
8 例患者采用 16G 硬膜外穿刺针制备受区。每位患者大约移植 500 个微移植体以重建额部发际线。
在插入微移植体时，几乎没有先前插入的移植体有“弹出”的趋势。患者的额部发际线自然，无明显瘢痕。这些患者的平均随访时间为 1.5 年。移植体的成活率令人满意。
根据外科医生的临床观察，发现该技术比标准针技术更容易操作。经验不足的外科医生也可以使用。使用硬膜外穿刺针制备受区孔可以减少“弹出”现象，并且孔的弯曲形状减少了毛囊的角度。
