Adson M H, Anderson R D, Argenta L C
Plast Reconstr Surg. 1987 Jun;79(6):906-14. doi: 10.1097/00006534-198706000-00009.
Tissue expansion has been extremely valuable in the treatment of traumatic scalp defects. We have recently used expansion techniques in the treatment of male pattern baldness. Expansion has been used in conjunction with scalp-reduction procedures and pedicled hair-bearing flaps. Flaps have been designed as Juri flaps, and in one patient, a new posteriorly based flap was used. This design gives the advantage of a more natural-appearing hairline and forward-growing hair. The major advantage of tissue expansion in the treatment of male pattern baldness is that it generates new hair-bearing scalp. The increase in vascularity which occurs during expansion allows for large, safe, and predictable flaps. Donor sites are also relatively easily closed. The disadvantages of expansion include the need for two or more surgical procedures and multiple office visits. There is also some discomfort following expansion and a cosmetic defect as the expanders become larger. Complications include infection, exposure or extrusion, deflation, and hair loss. Tissue expansion combined with scalp reduction and pedicled hair-bearing flaps have proved to be a valuable technique in the treatment of male pattern baldness with a high degree of patient satisfaction.
组织扩张术在创伤性头皮缺损的治疗中具有极高的价值。我们最近将扩张技术用于男性型秃发的治疗。扩张术已与头皮缩减手术及带蒂有毛发皮瓣联合使用。皮瓣设计为朱里皮瓣，在一名患者中，使用了一种新的以头后部为蒂的皮瓣。这种设计具有使发际线外观更自然且毛发向前生长的优势。组织扩张术治疗男性型秃发的主要优势在于它能生成新的有毛发头皮。扩张过程中出现的血管增多使得能够进行大的、安全且可预测的皮瓣手术。供区也相对容易闭合。扩张术的缺点包括需要进行两次或更多次外科手术以及多次门诊就诊。扩张后还会有一些不适，并且随着扩张器变大存在美容缺陷。并发症包括感染、外露或挤出、塌陷及脱发。组织扩张术联合头皮缩减术及带蒂有毛发皮瓣已被证明是治疗男性型秃发的一种有价值的技术，患者满意度很高。
