背景:毛发移植是一种广泛进行的用于毛发修复的整容手术。虽然总体上是安全的,它有并发症的风险,包括受体部位坏死(RSN)。RSN是一种罕见但严重的并发症。本研究旨在对18例头发移植后受体区域坏死的患者进行详细分析。
方法:对2017年至2023年间毛发移植后发生RSN的18名咨询患者的病历进行了回顾性审查。收集的数据包括患者人口统计学,病史,手术细节,治疗方式,和结果。治疗包括手术干预(清创),和保守措施(伤口护理)在所有情况下。
结果:患者的平均年龄为36.06岁(范围:22-48岁)。确定的最常见的危险因素是吸烟66.7%(n=10),高血压20%(n=3),糖尿病13.3%(n=2)。所有患者(n=18)使用毛囊单位切除技术进行了单次毛发移植,平均移植了3899.44±93.76个卵泡单位。所有患者均出现瘢痕形成和移植失败等结果。
结论:本研究是文献中最大的并发症系列。RSN是毛发移植的一种罕见但显著的并发症。识别和管理风险因素,比如吸烟,糖尿病和高血压,对预防至关重要。早期识别和及时治疗对于最佳结果至关重要。虽然保守的管理往往是成功的,在严重的情况下,手术干预可能是必要的。
方法:本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述,请参阅目录或在线作者说明www。springer.com/00266.
BACKGROUND: Hair transplantation is a widely performed cosmetic procedure for hair restoration. While generally safe, it carries the risk of complications, including recipient site necrosis (RSN). RSN is a rare but serious complication. This study aims to conduct a detailed analysis of 18 patients who had necrosis in the recipient area after hair transplantation.
METHODS: A retrospective review of medical records was conducted on 18 consulted patients who developed RSN following hair transplantation between 2017 and 2023. Data collected included patient demographics, medical history, surgical details, treatment modalities, and outcomes. Treatment involved surgical intervention (debridement), and conservative measures (wound care) in all cases.
RESULTS: The mean age of patients was 36.06 years (range: 22-48). The most common risk factors identified were smoking 66.7% (n = 10), hypertension 20% (n = 3), and diabetes mellitus 13.3% (n = 2). All patients (n = 18) underwent single-session hair transplantation using the follicular unit excision technique, and an average of 3899.44 ± 93.76 follicular units were transplanted. Outcomes such as scarring and graft failure occurred in all patients.
CONCLUSIONS: The presented study is the largest complication series in the literature. RSN is a rare but significant complication of hair transplantation. Identifying and managing risk factors, such as smoking, diabetes and hypertension, is crucial for prevention. Early recognition and prompt treatment are essential for optimal outcomes. While conservative management is often successful, surgical intervention may be necessary in severe cases.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .