Sung Kun Yong, Lee Seung Ho, Oh Suk Joon, Jeong Chanho, Kim Jong Dae, Kim Jeong Tae
Department of Plastic and Reconstructive Surgery, Kangwon National University Hospital, Kangwon, Republic of Korea.
Department of Burn Reconstructive Surgery, Daejeon Hwa Hospital, Daejeon, Republic of Korea.
Arch Plast Surg. 2025 Sep 1;52(5):281-286. doi: 10.1055/a-2646-8750. eCollection 2025 Sep.
This study investigates scalp skin thickness using ultrasonography and histometry, exploring its relationship with age and sex.
The study data were obtained from split-thickness skin grafting using hairy scalp skin as the donor site in 102 Korean patients. The skin thickness of the donor scalps was measured using preoperative ultrasound in all 102 patients, and the histometric thickness of a 3-mm punch biopsy near the donor site was measured in 61 patients postoperatively. The scalp skin thickness was statistically analyzed according to age and sex.
The mean ultrasonographic thickness was 1.71 ± 0.41 mm, while the mean histometric thickness was 1.93 ± 0.47 mm. The difference was statistically significant ( < 0.001). Regression analysis showed a significant relationship between ultrasonographic scalp skin thickness and age, but not sex. Thickness increased up to 20 years, with no significant change beyond that.
Scalp skin thickness correlates with age, but not sex. Preoperative ultrasonography is crucial for assessing scalp skin thickness, especially for younger patients under 21 years, to optimize scalp grafting outcomes.
本研究采用超声检查和组织测量法调查头皮皮肤厚度，探讨其与年龄和性别的关系。
研究数据来自102例韩国患者，这些患者以有毛发的头皮皮肤作为供区进行了中厚皮片移植。对所有102例患者术前使用超声测量供区头皮的皮肤厚度，对61例患者术后测量供区附近3毫米打孔活检组织的组织测量厚度。根据年龄和性别对头皮皮肤厚度进行统计学分析。
超声测量的平均厚度为1.71±0.41毫米，而组织测量的平均厚度为1.93±0.47毫米。差异具有统计学意义（<0.001）。回归分析显示超声测量的头皮皮肤厚度与年龄之间存在显著关系，但与性别无关。厚度在20岁时达到最大值，此后无显著变化。
头皮皮肤厚度与年龄相关，但与性别无关。术前超声检查对于评估头皮皮肤厚度至关重要，特别是对于21岁以下的年轻患者，以优化头皮移植效果。
