Vasudevan Biju, Neema Shekhar, Ghosh Kunal, Singh Sehdev, Khera Anurag
Senior Advisor (Dermatology), Base Hospital Lucknow, UP, 226002, India.
Classified Specialist (Dermatology), Command Hospital (Southern Command), Pune 411040, India.
Med J Armed Forces India. 2020 Oct;76(4):430-437. doi: 10.1016/j.mjafi.2019.11.001. Epub 2020 Mar 12.
Follicular unit extraction (FUE) is the most popular method of hair transplantation in today's world. Hair transplantation in androgenetic alopecia (AGA) in males can restore the frontal hairline and provide hair density in alopecic areas to the satisfaction of most patients.
Consecutive male patients of AGA who underwent hair transplantation by FUE method in two centers between the period of January 2016 and June 2017 have been included in this study based on inclusion and exclusion criteria. Photographic images, trichoscopy and Likert's scale were used to assess patient's improvement in hair density after the transplantation procedure. Statistical methods using SPSS software was used to analyze the results. Institutional ethical clearance and patients' written consent for procedure and images was obtained. The study was an observational retrospective study using data and images from records for which consent and ethical clearance was obtained from patients and the institution.
Average number of follicular units transplanted in patients was 1290 (improvement in hair density: of 30.61 follicular units/sq cm). There was a statistically significant difference in improvement in hair density in patients younger than 33 years and in patients with Norwood classification below stage 4a. Forty-nine patients were satisfied with the results after assessment by the Likert scale.
Hair transplantation by follicular extraction method provides good hair cover in AGA in males. This modern dermatosurgical technique with its many innovations is a very helpful technique to improve quality of life in male pattern baldness.
毛囊单位提取术(FUE)是当今世界最流行的毛发移植方法。男性雄激素性脱发(AGA)的毛发移植可以恢复前额发际线,并在秃发区域提供毛发密度,使大多数患者满意。
根据纳入和排除标准,本研究纳入了2016年1月至2017年6月期间在两个中心接受FUE方法毛发移植的连续AGA男性患者。使用摄影图像、毛发镜检查和李克特量表来评估移植手术后患者毛发密度的改善情况。使用SPSS软件的统计方法对结果进行分析。获得了机构伦理批准以及患者对手术和图像的书面同意。本研究是一项观察性回顾性研究,使用了从患者和机构获得同意及伦理批准的记录中的数据和图像。
患者移植的毛囊单位平均数量为1290个(毛发密度改善:每平方厘米30.61个毛囊单位)。33岁以下患者和诺伍德分级低于4a期的患者在毛发密度改善方面存在统计学显著差异。49名患者在通过李克特量表评估后对结果满意。
毛囊提取法毛发移植为男性AGA提供了良好的毛发覆盖。这种具有许多创新的现代皮肤外科技术是改善男性型秃发患者生活质量的非常有用的技术。