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供体获取:毛囊单位提取术。

Donor Harvesting: Follicular Unit Excision.

作者信息

Garg Anil K, Garg Seema

机构信息

Rejuvenate Hair Transplant Centre, Indore, Madhya Pradesh, India.

出版信息

J Cutan Aesthet Surg. 2018 Oct-Dec;11(4):195-201. doi: 10.4103/JCAS.JCAS_123_18.

DOI:10.4103/JCAS.JCAS_123_18
PMID:30886473
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6371717/
Abstract

FUE or follicular unit excision is one of the methods for hair follicle harvesting in hair transplantation. FUE involves harvesting hairs from the donor area, under local anesthesia which is most commonly the scalp but occasionally beard, chest and other parts of the body, using a circular punch less than a mm, mounted on a manual handle or a motorized hand device or more recently a robotic device. First hair transplant was done by Dr Shoji Okuda in 1937. The term "follicular unit extraction" was coined by William Rassman in 2002. The modern era of FUE begins with the work of several surgeons Woods, Rassman, Cole, Harris and Rose. FUE has gone through various stages of development from manual to motorized and blunt to sharp, serrated trumpet and flared punches. Now the use of the robot in FUE with extraction and incision making is also in use. In 2017 nomenclature committee headed by Parsa Mohebi of ISHRS, recommended the term "FOLLICULAR UNIT EXCISION" is most appropriate as it explains the two steps of the process: incision and extraction and incision is done by a physician. FUE is a surgeon based time-consuming procedure with the long learning curve. Use of motorized device and sharp punches has certainly helped to increase speed in an experienced hand. FUE method of hair transplant is the most demanding procedure. If done properly it is a safe procedure. with the experience, use of better quality of instrument the disadvantages of FUE like transection can be reduced. The above informations were collected from various papers published in authentic journals and textbooks.

摘要

毛囊单位提取(FUE)是毛发移植中获取毛囊的方法之一。FUE是指在局部麻醉下,从供体区域获取毛发,供体区域最常见的是头皮,但偶尔也会是胡须、胸部和身体的其他部位,使用一种小于1毫米的圆形打孔器,该打孔器安装在手动手柄、电动手持设备或最近的机器人设备上。首例毛发移植由大久保庄司医生于1937年完成。“毛囊单位提取”这一术语由威廉·拉斯曼在2002年创造。FUE的现代时代始于伍兹、拉斯曼、科尔、哈里斯和罗斯等几位外科医生的工作。FUE经历了从手动到电动、从钝头到尖头、锯齿状喇叭形和喇叭形打孔器等各个发展阶段。现在,机器人在FUE中的应用,包括提取和切口制作也在使用中。2017年,由国际毛发移植外科学会(ISHRS)的帕尔萨·莫赫比领导的命名委员会建议,“毛囊单位切除”这个术语最合适,因为它解释了该过程的两个步骤:切口和提取,且切口由医生完成。FUE是一种基于外科医生操作的耗时程序,学习曲线较长。使用电动设备和尖头打孔器确实有助于提高熟练者的操作速度。FUE毛发移植方法是要求最高的程序。如果操作得当,它是一种安全的程序。随着经验的积累以及使用质量更好的器械,FUE的缺点,如横断,可以减少。上述信息是从权威期刊和教科书中发表的各种论文中收集的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb14/6371717/a56a0463451e/JCAS-11-195-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb14/6371717/b53e5ff00706/JCAS-11-195-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb14/6371717/70ee52129588/JCAS-11-195-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb14/6371717/ed0be1ef574b/JCAS-11-195-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb14/6371717/94c34fadc86f/JCAS-11-195-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb14/6371717/a56a0463451e/JCAS-11-195-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb14/6371717/b53e5ff00706/JCAS-11-195-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb14/6371717/70ee52129588/JCAS-11-195-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb14/6371717/ed0be1ef574b/JCAS-11-195-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb14/6371717/94c34fadc86f/JCAS-11-195-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb14/6371717/a56a0463451e/JCAS-11-195-g005.jpg

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本文引用的文献

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Plast Reconstr Surg Glob Open. 2016 Nov 28;4(11):e1141. doi: 10.1097/GOX.0000000000001141. eCollection 2016 Nov.
2
Follicular Unit Extraction Hair Transplantation with Micromotor: Eight Years Experience.使用微电机的毛囊单位提取毛发移植:八年经验
Aesthetic Plast Surg. 2015 Aug;39(4):589-96. doi: 10.1007/s00266-015-0494-8. Epub 2015 May 7.
3
Direct hair transplantation: a modified follicular unit extraction technique.
非洲裔患者的毛囊单位切除:一种皮肤响应技术。
Dermatol Surg. 2023 Oct 1;49(10):949-955. doi: 10.1097/DSS.0000000000003881. Epub 2023 Aug 1.
4
[Clinical effects of autologous follicular unit extraction transplantation in the treatment of small area secondary cicatricial alopecia after burns].自体毛囊单位提取移植治疗烧伤后小面积继发性瘢痕性秃发的临床疗效
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2022 Jun 20;38(6):532-537. doi: 10.3760/cma.j.cn501120-20210224-00064.
5
Optimal Hair Transplant Recipient Site Slit Design: Minimizing Vascular Damage.最佳毛发移植受区裂隙设计:最小化血管损伤
Indian J Plast Surg. 2021 Dec 31;54(4):471-476. doi: 10.1055/s-0041-1739251. eCollection 2021 Oct.
6
Hair Transplant Practice Guidelines.毛发移植实践指南。
J Cutan Aesthet Surg. 2021 Jul-Sep;14(3):265-284. doi: 10.4103/JCAS.JCAS_104_20.
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A Novel Follicular Unit Excision Device for All-Purpose Hair Graft Harvesting.一种用于通用毛发移植采集的新型毛囊单位切除装置。
Clin Cosmet Investig Dermatol. 2021 Nov 16;14:1657-1674. doi: 10.2147/CCID.S333353. eCollection 2021.
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[Research advances on autologous hair transplantation in the treatment of secondary cicatricail alopecia].自体毛发移植治疗继发性瘢痕性秃发的研究进展
Zhonghua Shao Shang Za Zhi. 2021 Oct 20;37(10):996-999. doi: 10.3760/cma.j.cn501120-20200827-00392.
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[Clinical application and curative effect observation of follicular unit extraction and transplantation in the treatment of cicatricial alopecia].毛囊单位提取移植治疗瘢痕性秃发的临床应用及疗效观察
Zhonghua Shao Shang Za Zhi. 2021 May 20;37(5):469-474. doi: 10.3760/cma.j.cn501120-20200315-00170.
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History of follicular unit excision.毛囊单位切除术的历史。
Indian J Dermatol Venereol Leprol. 2021 Mar-Apr;87(2):315-318. doi: 10.25259/IJDVL_1071_20.
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