Reconstruction of Scalp Scar and Alopecia with Multiple Tissue Expanders and Zigzag (Puzzle) as a New Method
Publish Year: 1396
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_ZUMS-26-114_001
تاریخ نمایه سازی: 11 اردیبهشت 1400
Abstract:
Background and Objective: Repairing scalp scar and alopecia is a concern of surgeons. Treating it with tissue expander has indicated promising results in recent decades. This study provides a new method of using two tissue expanders simultaneously for tissue over expansion and repairing flaps’ edge with puzzle method.
Materials and Methods: This study was conducted on fifteen ۵ to ۳۴- year- old patients with scalp scar greater than ۱۰۰ cm۲. Two tissue expanders were used for each patient. Appropriate expansion was achieved with twice injections of ۵-۸ cc/cm۲ (۶.۵ average) normal saline weekly during ۸۰ days. In the second surgery, both tissue expanders were extracted and the scar was removed. Then, advancement and rotational flaps were prepared and the repair was carried out with puzzle method. The patients were followed up for ۳-۶ months.
Results: No case of wound infection and seroma was observed. Over expansion occurred with an average of ۳.۳ times larger than scar size. No evidence of expander extrude, flap necrosis or recurrent scarring with more than ۳ mm width were seen. New scar became totally hidden with hair. No one needed hair follicle grafting. Patient satisfaction was good to excellent.
Conclusion: Using multiple tissue expanders to accelerate overexpansion and repairing with puzzle (zigzag) method reduces patient referral, waiting time, new scaring and complications and leads to promising cosmetic results.
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Authors
کیومرث طاهری
Dept. of General Surgery, Ayatollah Mousavi Hospital, Zanjan University of Medical Sciences, Zanjan, Iran
سید نجات حسینی
Dept. of General Surgery, Ayatollah Mousavi Hospital, Zanjan University of Medical Sciences, Zanjan, Iran
سمیه عبداللهی ثابت
Dept.of Social Medicine,Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
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