Woo Ken, Lee Dong Kun, Woo Seung Hoon
Department of Molecular, Cell, and Developmental Biology University of California Los Angeles Los Angeles California USA.
Department of Otolaryngology-Head and Neck Surgery Dong-A University College of Medicine Busan Korea.
OTO Open. 2025 May 15;9(2):e70104. doi: 10.1002/oto2.70104. eCollection 2025 Apr-Jun.
Traditional transcutaneous approaches for pilomatricoma excision in the face and neck are effective but often leave conspicuous scars that compromise cosmetic outcomes. We aimed to evaluate a refined endoscope-assisted hairline approach that uses a concealed scalp incision and enhanced endoscopic visualization to improve esthetic results while maintaining surgical efficacy.
Prospective observational study.
Dankook University School of Medicine, Korea.
Fifty patients with benign pilomatricomas of the face and neck were prospectively enrolled and allocated into two groups. Group A (n = 25) underwent the refined endoscope-assisted hairline approach, whereas Group B (n = 25) received the conventional transcutaneous approach. Clinical data including operative time and postoperative complications were recorded. Cosmetic outcomes were objectively evaluated using standardized photographic documentation and patient satisfaction scores collected at 3 and 12 months postoperatively.
The mean operative time was significantly longer in Group A compared to Group B ( < .001), reflecting the technical intricacies of the hairline approach. No significant differences were observed between the two groups in hospital stay or overall complication rates. Importantly, cosmetic satisfaction scores were significantly higher in Group A ( < .001), with objective assessments consistently demonstrating reduced scar visibility and superior preservation of skin integrity.
The refined endoscope-assisted hairline approach is a safe and highly effective technique for pilomatricoma excision in cosmetically sensitive facial and neck regions. This innovative method offers significant improvements in esthetic outcomes without compromising safety, representing a distinct advance over conventional methods.
传统的经皮方法用于切除面颈部的毛母质瘤是有效的，但往往会留下明显的疤痕，影响美容效果。我们旨在评估一种改良的内窥镜辅助发际线入路，该方法采用隐蔽的头皮切口和增强的内窥镜视野，以在保持手术疗效的同时改善美学效果。
前瞻性观察研究。
韩国檀国大学医学院。
前瞻性纳入50例面颈部良性毛母质瘤患者，并将其分为两组。A组（n = 25）采用改良的内窥镜辅助发际线入路，而B组（n = 25）采用传统的经皮入路。记录包括手术时间和术后并发症在内的临床数据。使用标准化的照片记录以及术后3个月和12个月收集的患者满意度评分对美容效果进行客观评估。
与B组相比，A组的平均手术时间明显更长（<0.001），这反映了发际线入路的技术复杂性。两组在住院时间或总体并发症发生率方面未观察到显著差异。重要的是，A组的美容满意度评分明显更高（<0.001），客观评估一致显示疤痕可见度降低，皮肤完整性保存更好。
改良的内窥镜辅助发际线入路是一种安全且高效的技术，用于切除对面部和颈部美容敏感区域的毛母质瘤。这种创新方法在不影响安全性的情况下显著改善了美学效果，代表了相对于传统方法的明显进步。
