Feily Amir, Moeineddin Fatemeh
Department of Dermatology, Jahrom University of Medical Sciences, Jahrom, Iran.
Skin and Stem Cell Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Dermatol Pract Concept. 2015 Jul 31;5(3):41-6. doi: 10.5826/dpc.0503a10. eCollection 2015 Jul.
Hair restoration is a safe procedure and most of its associated complications are preventable by the surgeon and/or the patient. Recipient area necrosis is rare but arises when an increased number of recipient grafts are utilized and de-vascularization of the scalp occurs. The aim of this study was to investigate and compare all cases and pictures reported in main search engines and Iranian centers of hair transplant to find the dangerous zone of necrosis and to provide a new method for prevention of necrosis. Pictorial analysis of this study revealed that the majority of necrosis (14 of 18) occurs in central region of the scalp and is inclined, particularly, to the right parietal aspect of the scalp. Accordingly, a case series was done and a new method for prevention of scalp necrosis even in dense packing transplantation was discussed.
毛发移植是一种安全的手术,其大多数相关并发症可由外科医生和/或患者预防。受区坏死很少见,但当使用的受区移植物数量增加且头皮出现血管化缺失时就会发生。本研究的目的是调查和比较主要搜索引擎及伊朗毛发移植中心报告的所有病例和图片,以找出坏死的危险区域,并提供一种预防坏死的新方法。本研究的图像分析显示,大多数坏死病例(共18例,其中14例)发生在头皮中央区域,尤其倾向于头皮的右顶叶部位。据此,开展了一个病例系列研究,并讨论了一种即使在密集填充移植中预防头皮坏死的新方法。