■毛囊炎(FD)是一种难以治疗的,局部瘢痕性脱发,其特征是慢性发炎化脓性斑块或肿块的面积扩大。目前的治疗方式各不相同,通常仅导致暂时缓解。没有关于FD手术治疗的报道。这里,我们描述了FD的治疗方法,包括手术切除,并在高张力缝合的辅助下进行二次愈合.
■5例经组织学证实的FD患者(1名女性和4名男性)通过手术病灶切除治疗。通过第二意图允许所有伤口愈合。采用受保护的高张力缝合线以最大程度地减少组织撕裂,同时帮助和引导伤口收缩。
■所有伤口均以最大伤口直径的47-83%的空间收缩愈合。三个病人完全是第二次治愈,而两人需要轻微的植皮才能完全闭合伤口。在10-24个月没有发现疾病复发。
■手术切除并在高张力缝合的辅助下进行二次愈合,可有效治疗小范围和广泛的FD病变,长期随访无复发。据我们所知,这是成功手术治疗FD的首次报道。
UNASSIGNED: Folliculitis decalvans (FD) is a difficult-to-treat, localized scarring alopecia characterized by an expanding area of chronically inflamed purulent plaques or masses. Current treatment modalities vary and often result in only temporary remission. There are no reports of surgical therapies for FD. Here, we describe FD treatment using surgical excision and second-intention healing aided by guarded high-tension sutures.
UNASSIGNED: Five patients (one woman and four men) with histologically confirmed FD were treated by surgical lesion excision. All wounds were allowed to heal via second-intention. Guarded high-tension sutures were employed to minimize tissue tears while aiding and guiding wound contraction.
UNASSIGNED: All wounds healed with a 47-83% spatial contraction of the maximum wound diameters. Three patients healed entirely by second-intention, while two required a minor skin graft to close the wound completely. No disease recurrence was noted at 10-24 months.
UNASSIGNED: Surgical excision with second-intention healing aided by guarded high-tension sutures effectively treated small and extensive FD lesions with no recurrence at long-term follow-up. To our knowledge, this is the first report of successful surgical treatment of FD.