Bansal Arika, Sethi Pradeep, Kumar Abhinav, Sahoo Alok K, Das Priyadarshini
Department of Dermatology, Eugenix Hair Sciences, Gurugram, Haryana, India.
J Cutan Aesthet Surg. 2019 Oct-Dec;12(4):250-254. doi: 10.4103/JCAS.JCAS_33_19.
Techniques of hair transplantation are evolving with time both in terms of use of better methods of graft harvestment and implantation. The result of the procedure ultimately depends on the tenderness with which grafts are handled.
The aim of this study was to evaluate efficacy and feasibility of using implanter in premade slits for implantation of the graft.
This technique was used in 104 patients who were willing to undergo hair transplantation by follicular unit extraction. After administration of local anesthesia, the recipient sites were created. Thereafter, the processes of scoring the skin with a motorized punch, graft extraction, and implantation using implanter into the premade slits were performed simultaneously. These patients were followed up to look for the time period of initiation of hair growth. Improvement was assessed by comparing basic and specific classification (BASP) at the baseline and during subsequent follow-up.
Of 104 patients, 103 (99%) were men and one (1%) was woman. According to pretransplant BASP score, 98 (94.2%) patients were having severe type and 6 (5.8%) were having mild type. As per the posttransplant BASP score, patients having severe and mild type were 24 and 80, respectively. Improvement in the BASP score (from severe to mild type) was seen in 74 (71%) patients and no change was seen in 30 (29%) patients. Hair growth started becoming visible after two to five months and "good" results were obtained in all except two patients after a follow-up period varying from 8 to 18 months.
Placement of the grafts into premade slits using implanter will help in improved results because of minimal graft handling, more graft placement in less time, and thereby reducing body out of time.
No objective assessment was carried out to document regrowth of hair in our study.
随着时间的推移，毛发移植技术在更好的毛囊提取和植入方法的使用方面不断发展。该手术的最终结果取决于处理毛囊的精细程度。
本研究的目的是评估在预制切口中使用植入器植入毛囊的疗效和可行性。
该技术用于104例愿意接受毛囊单位提取毛发移植的患者。局部麻醉后，创建受区。此后，使用电动打孔器对皮肤进行打孔、提取毛囊，并使用植入器将毛囊植入预制切口中的过程同时进行。对这些患者进行随访，观察头发生长开始的时间段。通过比较基线和后续随访时的基本和特定分类（BASP）来评估改善情况。
104例患者中，103例（99%）为男性，1例（1%）为女性。根据移植前BASP评分，98例（94.2%）患者为重度类型，6例（5.8%）患者为轻度类型。根据移植后BASP评分，重度和轻度类型的患者分别为24例和80例。74例（71%）患者的BASP评分有改善（从重度变为轻度），30例（29%）患者无变化。毛发在两到五个月后开始可见，除两名患者外，在8至18个月的随访期后，所有患者均获得了“良好”的效果。
使用植入器将毛囊植入预制切口中有助于获得更好的效果，因为对毛囊的处理最少，能在更短的时间内植入更多的毛囊，从而减少手术时间。
在我们的研究中，没有进行客观评估来记录毛发的再生情况。
