Atodaria Pradipkumar R, Venkataram Aniketh, Mysore Venkataram, Atodaria Kuldeepsinh P
Atodaria Hair Transplant & Cosmetic Surgery Center, "Harsh-Deep," Surat, Gujarat, India.
The Venkat Center for Skin ENT & Plastic Surgery, Vijayanagar, Bangalore, Karnataka, India.
Indian J Plast Surg. 2021 Dec 31;54(4):471-476. doi: 10.1055/s-0041-1739251. eCollection 2021 Oct.
An often overlooked aspect of hair transplantation is the art of recipient site design and slit creation. There is also a lack of consensus on which technique provides the optimum coverage while minimizing vascular damage. This paper aims to provide logical arguments to determine the optimal instrument and method of slit creation, in order to ensure maximum density, optimal survival, minimal pop-out, and minimal damage to scalp vascularity. The use of semiconical blades reduces the damage to the dermis and vascular plexus as compared with rectangular blades and needles, as the depth of penetration required is lower. The use of acute angle reduces the depth of penetration for the same length of slit and decreases damage to deep plexus. Coronal slits produce less vascular damage than that of sagittal slits with the same size blades. We believe that these recommendations provide the optimum volume slits while causing minimal vascular damage.
毛发移植中一个常常被忽视的方面是受区设计和裂隙创建的技巧。对于哪种技术能在使血管损伤最小化的同时提供最佳覆盖效果，也缺乏共识。本文旨在提供合理的论据来确定创建裂隙的最佳器械和方法，以确保最大密度、最佳存活率、最小的毛发脱出以及对头皮血管的最小损伤。与矩形刀片和针相比，使用半圆锥形刀片对真皮和血管丛的损伤更小，因为所需的穿透深度更低。使用锐角在相同裂隙长度下可减少穿透深度，并减少对深部血管丛的损伤。使用相同尺寸刀片时，冠状裂隙比矢状裂隙造成的血管损伤更小。我们认为这些建议能提供最佳的裂隙容积，同时使血管损伤最小化。
