■当前的无剃须长毛囊单位切除(LH-FUE)技术采用凹槽(插槽,凹口,或凹槽),以减少长发干断裂率(SBR)和移植物横断率(GTR)。然而,这些方法需要先进的技能和延长的手术时间。
■我们的目标是在不使用凹陷尖端冲头的情况下评估皮肤反应性FUE技术,在LH-FUE程序中容纳不同的头发和皮肤类型。
■我们回顾性分析了在五家跨国诊所(墨西哥,哥伦比亚,印度,美国,和Türkiye)从2021年8月9日至2023年4月11日。术前使用SanusiFUE评分(SFS)量表对供体区进行预期难度分级,从I类(低难度)到V类(高难度)。
■在152名患者中(平均年龄,46年;146个直波浪形,6卷发),大多数(n=107)是I类捐赠者。GTR范围为2.2%-4.3%,在IV级捐赠者和头皮厚实的捐赠者中最高。SBR为12.2%,平均移植物切除率(GER;速度)为440移植物/h。仅使用19G和18G冲头。所有患者对手术都很满意,57.4%的人报告说他们“非常高兴”。采用该设备后,外科医生进行无剃须LH-FUE的意愿从1.25显着增加到4.20(在1-5的范围内)。SFS类,蒙皮厚度,和坚定,比头发卷曲,影响了GTR,SBR,扭矩,和冲头运动持续时间。
■我们的发现揭示了在不同患者中使用这种皮肤响应装置进行无剃须LH-FUE的一致成功。值得注意的是,没有凹陷尖端的冲头就取得了成功,导致低GTR和SBR,随着较高的GER和增加的患者满意度。这些结果表明提高了手术速度和易用性,有助于外科医生更愿意采用这种技术。
UNASSIGNED: Current no-shave long hair-follicular unit excision (LH-FUE) techniques employ recesses (slots, notches, or grooves) in punch tips to reduce the long-hair shaft break rate (SBR) and graft transection rate (GTR). However, these methods demand advanced skills and extended procedure time.
UNASSIGNED: We aimed to evaluate a skin-responsive FUE technique without the use of recess-tipped punches, accommodating diverse hair and skin types in LH-FUE procedures.
UNASSIGNED: We retrospectively analyzed patients who underwent this technique using a UGraft Zeus device at five multinational clinics (Mexico, Colombia, India, United States, and Türkiye) from August 9, 2021, to April 11, 2023. Donor zones were pre-operatively graded for expected difficulty using the Sanusi FUE Scoring (SFS) Scale, ranging from class I (low difficulty) to V (high difficulty).
UNASSIGNED: Among 152 patients (mean age, 46 years; 146 straight-wavy, 6 curly-coiled hair), most (n=107) were class I donors. The GTR ranged 2.2%-4.3%, and was highest in class IV donors and those with thick-firm scalps. The SBR was 12.2%, and the average graft excision rate (GER; speed) was 440 grafts/h. Only 19G and 18G punches were used. All patients were satisfied with the procedure, with 57.4% reporting that they were \"very happy\". Surgeon willingness to perform no-shave LH-FUE significantly increased from 1.25 to 4.20 (on a scale of 1-5) after adopting this device. SFS class, skin thickness, and firmness, more than hair curliness, influenced the GTR, SBR, torque, and punch movement duration.
UNASSIGNED: Our findings reveal consistent success in conducting no-shave LH-FUE using this skin-responsive device across diverse patients. Notably, success was achieved without recess-tipped punches, resulting in low GTR and SBR, along with a high GER and increased patient satisfaction. These outcomes suggest enhanced procedure speed and ease of use, contributing to a greater willingness among surgeons to adopt this technique.