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Our experiences on the reconstruction of lateral scalp burn alopecia with tissue expanders.

AbstractINTRODUCTION:
Cicatricial alopecia is a form of hair loss that causes both cosmetic and psychological concerns. Although tissue expanders are the common approach to reconstruction, no algorithm exists in the literature for this process. In this study, it was aimed to create an algorithm for the reconstruction of lateral scalp alopecias with the goal to achieve better and standardized results.
MATERIALS AND METHODS:
Lateral scalp alopecias were divided into three groups: total lateral alopecia (type I), temporal and sideburn alopecia (type II), and sideburn alopecia (type III). Tissue expanders were placed at the parieto-occipital area in type I defects, parietal area in type II defects, and the temporal region in type III defects. Tissue expanders were used to create flaps that were advanced with 60° rotation, 90° rotation, and no rotation for type I, II, and III defects, respectively.
RESULTS:
Fifteen patients were treated with this algorithm. Using this simple approach, we achieved natural, standardized aesthetic results for each patient, all of whom were satisfied with the final results.
CONCLUSION:
Although the number of case were limited, the ideal and standardized cosmetic results could be obtained by this approach.
AuthorsSerbulent Guzey, Doğan Alhan, Ismail Şahin, Andaç Aykan, Muhitdin Eski, Mustafa Nişancı
JournalBurns : journal of the International Society for Burn Injuries (Burns) Vol. 41 Issue 3 Pg. 631-7 (May 2015) ISSN: 1879-1409 [Electronic] Netherlands
PMID25451149 (Publication Type: Clinical Study, Journal Article)
CopyrightCopyright © 2014 Elsevier Ltd and ISBI. All rights reserved.
Topics
  • Adolescent
  • Adult
  • Algorithms
  • Alopecia (etiology, surgery)
  • Burns (complications, surgery)
  • Child
  • Child, Preschool
  • Cohort Studies
  • Humans
  • Male
  • Prospective Studies
  • Plastic Surgery Procedures (methods)
  • Scalp (injuries, surgery)
  • Skin Transplantation (methods)
  • Surgical Flaps
  • Tissue Expansion (methods)
  • Tissue Expansion Devices
  • Young Adult

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