Pensler J M, Dillon B, Parry S W
Plast Reconstr Surg. 1985 Sep;76(3):434-40. doi: 10.1097/00006534-198509000-00019.
We have reviewed our experience with reconstruction of eyebrow alopecia secondary to thermal injury in the pediatric patient. Reconstruction was performed with free composite strip grafts or vascularized island pedicle flaps. The complication rates for eyebrows reconstructed with vascularized island pedicles with respect to loss of a significant portion of the flaps (30.8 percent) and malalignment of the grafts (23.1 percent) were significantly greater (p less than 0.001) than the significant tissue loss (10.6 percent) or graft malalignment (7.9 percent) observed for free composite grafts. Hair density was more predictably restored with the free composite graft technique (p = 0.0004). The patients reconstructed with composite grafts had 89.4 percent acceptable results in contrast to 38.5 percent acceptable results obtained with the island pedicle technique. Based on these findings, we reserve the use of the vascularized island pedicle technique for male patients with unilateral alopecia and heavy hair density in the remaining eyebrow and in cases where free composite grafts have failed. The remaining patients are initially treated with free composite grafts with acceptable results in the overwhelming majority of cases.
我们回顾了小儿患者热损伤继发眉部脱发的修复经验。采用游离复合条片移植或带血管蒂岛状皮瓣进行修复。带血管蒂岛状皮瓣修复眉部时，皮瓣大部分丢失（30.8%）和移植片排列不齐（23.1%）的并发症发生率显著高于游离复合移植片观察到的显著组织丢失（10.6%）或移植片排列不齐（7.9%）（p<0.001）。游离复合移植技术更可预测地恢复了毛发密度（p=0.0004）。采用复合移植片修复的患者有89.4%的结果可接受，而采用岛状蒂技术的患者只有38.5%的结果可接受。基于这些发现，我们仅将带血管蒂岛状皮瓣技术用于单侧脱发且剩余眉部毛发浓密的男性患者以及游离复合移植失败的病例。其余患者最初采用游离复合移植片治疗，绝大多数病例结果可接受。
