Excessive expansion of scalp with multiple dilators to repair cicatricial alopecia in a large area

VernacularTitle:多只扩张器超量扩张修复大面积瘢痕性秃发
Author: Renyi YU ; Shunli LIU ; Mingrui CHEN ; Benli LIU ; Donghui BIAN ; Kai WU
Publication Type:Journal Article
Keywords: Dilator; Flap; Alopecia
From: Chinese Journal of Medical Aesthetics and Cosmetology 2014;20(5):331-333
CountryChina
Language:Chinese
Abstract: Objective To investigate the application of multiple dilators for excessive expansion of scalp with hair covering and integrated use of expanded flap to repair cicatricial alopecia in a large area.Methods stage Ⅰ surgery was performed as follows:multiple dilators were chosed and embedded below the galea aponeurotica of the scalp with hair covering according to the bald hair shape,size of the alopecia area.Excessive expansion was conducted for 3 to 6 months to get the extra hair scalp.Stage Ⅱ surgery was as follows:Dilators were removed and scar areas were resected,followed by combined use of sliding advancement flap,rotation flap and translocation flap to repair scalp alopecia.Resluts The postoperative effect of all patients was ideal with satisfied appearance.Conclusions Multiple dilator excessive expansion may obtain a large number of additional expansion scalp,combined by reasonable use of skin flap transfer technology,which can be used to repair the large scarring alopecia and get a good clinical effect.