Continuous expander implantation to repair large cicatricial alopecia in children
10.3760/cma.j.cn114453-20190418-00137
- VernacularTitle:连续扩张器置入法修复儿童大面积瘢痕性秃发
- Author:
Lijuan MENG
1
;
Hui ZHU
;
Mengsi ZHANG
;
Jinfeng FU
Author Information
1. 昆明医科大学附属儿童医院烧（创）伤整形外科 663000
- Keywords:
Reconstructive surgical procedures;
Child;
Cicatrix;
Alopecia;
Tissue expansion devices
- From:
Chinese Journal of Plastic Surgery
2020;36(12):1370-1374
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical outcome of continuous expander implantation in the repair of large cicatricial alopecia in children.Methods:From February 2015 to October 2019, 5 cases of large cicatricial alopecia were treated, aged from 3 to 14, including two boys and two girls. The area of alopecia exceed 1/2 of scalp. One case is intradermal nevus excision. Four cases were scar after burn. All cases were used continuous expander implantation to expand scalp. In the first stage, the expander was implanted and the normal skin was expanded. In the second stage, the expander was removed. After the cicatrix was cut partly, the expanded skin flap was transferred to repair the wound and the expander was placed under the expanded skin flap in a relay way. Then the expansion was continued. In the third stage, the expander was removed, the residual cicatricial alopecia was cut and reconstructed by the expanded flap. Advanced flap and rotational flap were applied and the efficacy was observed.Results:Among the 5 children, 2 cases were left with 10 cm×4 cm alopecia and 6 cm×2 cm alopecia. The other 3 cases were completely restored. The incision scar was wider in one case. The follow-up period was from 3 months to 3 years. Hair grows well and the shape of the hair was close to normal. The results were satisfactory.Conclusions:Continuous expander implantation in the repairation of large cicatricial alopecia in children have many advantages, including good postoperative results, short course, low cost and highly feasible.
