背景:瘢痕性脱发可显著影响儿童的情绪。毛囊单位切除(FUE)和毛囊单位移植(FUT)已用于瘢痕治疗。
目的:本研究旨在评估毛囊单位毛发移植治疗儿童瘢痕性脱发的安全性和可行性。
方法:共有9名儿童(7名男性和2名女性)患有瘢痕性脱发,年龄从5岁开始,2个月到12年,本研究包括10个月。瘢痕形成时间7个月~5年。站点是顶点(2),眉毛(3),正面发际线(3),和时间区域(2)。
结果:本组9例患儿随访6~34个月,治疗方案如下:FUE(5例),FUT(3例),和FUT结合FUE(1例)。治疗期间无明显并发症发生。移植的头发长得很好,方向和形状令人满意,生存率>90%。
结论:对于手术后烧伤和瘢痕性脱发的儿童,毛发移植可以显著改善其外观,手术风险低,患者满意度高。
BACKGROUND: Scarring alopecia can significantly affect children emotionally. Follicular unit excision (FUE) and follicular unit transplantation (FUT) have been applied for scar treatment.
OBJECTIVE: This study aimed to evaluate the safety and feasibility of follicular unit hair transplantation in treating scarring alopecia in children.
METHODS: A total of nine children (seven males and two females) with cicatricial alopecia, ranging in age from 5 years, 2 months to 12 years, 10 months were included in this study. Scar formation time ranged from 7 months to 5 years. Sites were vertex (2), eyebrow (3), frontal hairline (3), and temporal regions (2).
RESULTS: Nine children in this group were followed up for 6-34 months with the following treatment options: FUE (5 cases), FUT (3 cases), and FUT combined with FUE (1 case). No significant complications were observed during the treatment. The transplanted hair grew well, the direction and shape were satisfactory, and the survival rate was >90%.
CONCLUSIONS: For children with burn trauma and cicatricial alopecia after surgery, hair transplantation can significantly improve their appearance with low surgical risk and high patient satisfaction rate.