Laitung J K, Brough M D, Orton C I
Br J Plast Surg. 1986 Oct;39(4):542-8. doi: 10.1016/0007-1226(86)90132-3.
A mean 5 year review of 20 patients who had surgery for localised alopecia of the scalp is presented. The technique of using scalp expansion flaps is described and evaluated: it is associated with a low morbidity and high patient satisfaction rate; it provides an excellent one-stage procedure for intermediate size defects and, in the frontal area, for larger defects. Particular emphasis is laid on making incision lines at right angles to the direction of hair growth in order to cover stretched scars, and in performing Z-plasties when closing small scalp defects. Finally, a rationale for the treatment of localised areas of baldness according to their size is put forward.
对20例因局限性头皮脱发而接受手术的患者进行了为期5年的平均随访。本文描述并评估了使用头皮扩张皮瓣的技术:该技术并发症发生率低,患者满意度高;对于中等大小的缺损以及额部较大的缺损,它提供了一种出色的一期手术方法。特别强调要使切口线与头发生长方向成直角,以覆盖拉伸的瘢痕,并在闭合小的头皮缺损时进行Z成形术。最后,根据秃发区域的大小提出了治疗的理论依据。