Amouzou K S, Hissein H A, Mokako L J, Diouri M
University of Lomé, Department of Surgery, Lomé, Togo.
Hassan II University, IBN ROCHD Teaching Hospital, Casablanca, Morocco.
Ann Burns Fire Disasters. 2020 Dec 31;33(4):329-333.
Eyebrows have a critical functional and aesthetic role on the face. Alopecia on the eyebrows has multiple origins, including scars formed after deep burns on the head and neck region. Reconstruction of the eyebrows represents a challenge for plastic surgeons due to their particular anatomical structure and variations inside of genders. Follicular Unit Transplantation (FUT) is believed to be the gold standard for the treatment of all sorts of alopecia, including that located on the eyebrows. However, FUT is technically demanding and requires skills, extensive anatomical knowledge, and equipment. In settings where FUT is still not feasible, flaps such as the superficial temporal artery island scalp flap remain reliable options. A 32-year-old male patient presented at the National Burn and Plastic Surgery Center, Casablanca (Morocco), with right eyebrow alopecia caused by fire burn on the face. We reconstructed the alopecia using a superficial temporal artery island scalp flap. The result was excellent. The patient and the physician were both very satisfied, and the patient stated that he was more comfortable with his social relationships. Among the current procedures used for the reconstruction of eyebrow alopecia, the superficial temporal artery island flap remains a versatile solution, especially after burn injuries in male patients.
眉毛在面部具有关键的功能和美学作用。眉毛脱发有多种成因，包括头颈部深度烧伤后形成的疤痕。由于眉毛特殊的解剖结构以及不同性别的差异，眉毛重建对整形外科医生来说是一项挑战。毛囊单位移植（FUT）被认为是治疗各种脱发（包括眉部脱发）的金标准。然而，FUT技术要求高，需要技巧、丰富的解剖学知识和设备。在FUT仍不可行的情况下，诸如颞浅动脉岛状头皮瓣等皮瓣仍是可靠的选择。一名32岁男性患者因面部烧伤导致右眉脱发，就诊于卡萨布兰卡（摩洛哥）的国家烧伤与整形外科中心。我们使用颞浅动脉岛状头皮瓣修复了脱发。效果极佳。患者和医生都非常满意，患者表示他在社交关系中感觉更自在了。在目前用于重建眉部脱发的手术中，颞浅动脉岛状皮瓣仍然是一种通用的解决方案，尤其是在男性患者烧伤后。
