关键词: Auricular reconstruction Follicular unit extraction (FUE) Hair follicle Hair removal Nasal reconstruction

Mesh : Humans Hair Follicle / surgery Hair Removal / methods Scalp / surgery Surgical Flaps / surgery Plastic Surgery Procedures Cicatrix / surgery

来  源:   DOI:10.1016/j.bjps.2023.10.078

Abstract:
Use of scalp skin for facial organ reconstruction represents a mainstream procedure for organ reconstruction. In most cases, adequate amounts of skin can be obtained by using tissue expanders, but harvesting sufficient scalp tissue in patients with low hairlines is challenging. Hair follicular unit extraction (FUE) is one approach to resolve this problem. With FUE, hair follicles are removed from the scalp skin, which can then be prepared as a donor site to obtain sufficient amounts of hairless skin.
To evaluate the safety and efficacy of FUE when combined with an expanded scalp flap for facial organ reconstruction.
Patients with low hairlines requiring facial organ reconstruction were selected for this study. The area of skin extension and hair removal were determined prior to surgery, a process which was performed in three stages. Stage I consisted of hair follicle removal using the FUE technique at the donor site. Stage II involved expander implantation using water injections. In Stage III facial organ reconstruction was completed.
With the use of the FUE technique, hair follicles from the donor scalp were thoroughly removed and the donor scalp tissue was successfully expanded. Postoperatively, no evident scar formation at the reconstruction site or contracture of the expanded flap was observed. All patients were satisfied with the outcome of their reconstruction procedure.
FUE provides a means for hair follicle removal from the donor site and can be employed to achieve a safe and effective procedure for facial reconstruction in patients with low hairlines.
摘要:
背景:使用头皮皮肤进行面部器官重建是器官重建的主流程序。在大多数情况下,通过使用组织扩张器可以获得足够量的皮肤,但是在低发际线患者中采集足够的头皮组织是具有挑战性的。毛囊单位提取(FUE)是解决该问题的一种方法。有了FUE,从头皮皮肤上去除毛囊,然后可以将其制备为供体部位以获得足够量的无毛皮肤。
目的:评价FUE联合扩张头皮皮瓣重建面部器官的安全性和有效性。
方法:选择需要面部器官重建的低发际线患者进行本研究。手术前确定皮肤延伸和脱毛的面积,分三个阶段进行的过程。阶段I包括在供体部位使用FUE技术去除毛囊。第二阶段涉及使用注水的扩张器植入。在第三阶段,面部器官重建已完成。
结果:使用FUE技术,彻底去除供体头皮的毛囊,并成功扩大供体头皮组织。术后,在重建部位未观察到明显的瘢痕形成或扩张皮瓣挛缩。所有患者对其重建程序的结果感到满意。
结论:FUE提供了一种从供体部位去除毛囊的方法,可用于实现低发际线患者面部重建的安全有效程序。
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