Analysis of the efficacy of hair transplantation and scalp tissue expansion in the repair of extensive cicatricial alopecia
JIANG Wen-jie
WANG Meng
WANG Bo
CHENG Qian-qiu
MAO Wen-shu
ZHANG Xin-yue
SHI Jun-rong
Abstract：Objective To explore the efficacy and scope of hair transplantation and scalp tissue expansion in the repair of extensive cicatricial alopecia.Methods Between August 2004 and March 2017,the clinical data of patients suffering from extensive cicatricial alopecia who underwent hair transplantation (n=169) and scalp tissue expansion (n=118) were retrospectively analyzed.Results One hundred and sixty-nine patients who underwent hair transplantation achieved natural and good hair growth.Folliculitis was found in 11 patients and cured after 75％ alcohol inunction.Among them,115 patients felt the hair was sparse.Seventy-one patients experienced a second transplantation to increase hair density,and 23 patients underwent a third transplantation.One hundred and eighteen patients underwent scalp tissue expansion.All flaps survived.Twenty-one patients were dissatisfied with the direction of hair growth,and the hair density was not consistent with peripheral hair in 6 patients.Hematoma was found in 3 patients,but did not impact the final treatment effect after the hematoma was addressed.Conclusion Scalp tissueexpansion was an optimal choice for extensive cicatricial alopecia.For older patients and cases who cannot tolerate expanded flap,hair transplantation should be adopted to repair the alopecia.
Keywords：AlopeciaHair transplantationSurgical flapTissue expansionScar
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 525-528 )