Anderson R D
Valley Plastic Surgery Center, Scottsdale, AZ 85258.
Ann Plast Surg. 1993 Nov;31(5):385-91. doi: 10.1097/00000637-199311000-00001.
A new combination of expanded simultaneous transposition and advancement flaps is reported for the treatment of extensive male pattern baldness. Although vertical transposition and parieto-occipital advancement flaps in themselves are not new, their combination and simultaneous bilateral use combined with the use of expansion is new. The advantages of the expanded bilateral advancement transposition flap procedure are presented, along with the technique and results. The results are predictable, providing a more pleasing result, with a natural immediate temporal recession, avoidance of temporal dog-ears, and desirable anterior-superior direction of hair growth. Although flaps do require surgical skill and training, and there are risks and possible complications involved, the results are achieved in a relatively short time compared with grafting techniques. Flaps also provide the advantages of a full and natural hairline contrasted with the sparse look afforded by multiple grafts. The described procedures are very effective and reliable when properly planned and properly executed.
据报道，一种新的扩张同步转位和推进皮瓣联合技术可用于治疗广泛的男性型秃发。虽然垂直转位皮瓣和顶枕推进皮瓣本身并不新鲜，但它们的联合、双侧同时使用以及与扩张技术的结合却是新颖的。本文介绍了扩张双侧推进转位皮瓣手术的优点、技术和结果。其结果是可预测的，能带来更令人满意的效果，包括自然的即时颞部退缩、避免颞部皮瓣尖端，以及理想的前上方向头发生长。尽管皮瓣手术确实需要手术技巧和训练，且存在风险和可能的并发症，但与移植技术相比，能在相对较短的时间内取得效果。与多次移植导致的稀疏外观相比，皮瓣还具有提供饱满自然发际线的优点。当进行合理规划和正确实施时，所描述的手术非常有效且可靠。
