Department of Plastic, Reconstructive and Aesthetic Surgery, Biruni University Medical Faculty, Istanbul, Turkey.
Aesthetic Plast Surg. 2024 Oct;48(19):3735-3740. doi: 10.1007/s00266-024-04305-6. Epub 2024 Aug 19.
Hair transplantation is a widely performed cosmetic procedure for hair restoration. While generally safe, it carries the risk of complications, including recipient site necrosis (RSN). RSN is a rare but serious complication. This study aims to conduct a detailed analysis of 18 patients who had necrosis in the recipient area after hair transplantation.
A retrospective review of medical records was conducted on 18 consulted patients who developed RSN following hair transplantation between 2017 and 2023. Data collected included patient demographics, medical history, surgical details, treatment modalities, and outcomes. Treatment involved surgical intervention (debridement), and conservative measures (wound care) in all cases.
The mean age of patients was 36.06 years (range: 22-48). The most common risk factors identified were smoking 66.7% (n = 10), hypertension 20% (n = 3), and diabetes mellitus 13.3% (n = 2). All patients (n = 18) underwent single-session hair transplantation using the follicular unit excision technique, and an average of 3899.44 ± 93.76 follicular units were transplanted. Outcomes such as scarring and graft failure occurred in all patients.
The presented study is the largest complication series in the literature. RSN is a rare but significant complication of hair transplantation. Identifying and managing risk factors, such as smoking, diabetes and hypertension, is crucial for prevention. Early recognition and prompt treatment are essential for optimal outcomes. While conservative management is often successful, surgical intervention may be necessary in severe cases.
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毛发移植是一种广泛应用于毛发修复的美容手术。虽然一般来说是安全的，但它有发生并发症的风险，包括受区坏死（RSN）。RSN 是一种罕见但严重的并发症。本研究旨在对 18 例毛发移植后受区发生坏死的患者进行详细分析。
对 2017 年至 2023 年间接受毛发移植后发生 RSN 的 18 例咨询患者的病历进行回顾性分析。收集的数据包括患者人口统计学、病史、手术细节、治疗方式和结果。所有患者（n=18）均采用毛囊单位切除技术进行单次手术，平均移植 3899.44±93.76 个毛囊单位。治疗均包括手术干预（清创）和保守治疗（伤口护理）。
患者的平均年龄为 36.06 岁（范围：22-48 岁）。确定的最常见危险因素是吸烟 66.7%（n=10）、高血压 20%（n=3）和糖尿病 13.3%（n=2）。所有患者（n=18）均采用毛囊单位切除技术进行单次毛发移植，平均移植 3899.44±93.76 个毛囊单位。所有患者均发生了瘢痕和移植物失活等不良结局。
本研究是文献中最大的并发症系列研究。RSN 是毛发移植的一种罕见但严重的并发症。识别和管理吸烟、糖尿病和高血压等危险因素对于预防至关重要。早期识别和及时治疗对于获得最佳结局至关重要。虽然保守治疗通常是成功的，但在严重情况下可能需要手术干预。
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