Extensive Scarring Alopecia Treated Through a Single Dense-Packing Follicular Unit Extraction Megasession

作者：Zhu, De-Cong; Liu, Pei-Hua; Fan, Zhe-Xiang; Hu, Zhi-Qi; Miao, Yong^*

来源：Dermatologic Surgery, 2021, 47(1): E15-E20.

DOI：10.1097/DSS.0000000000002454

• CLEFT-LIP SCAR
• HAIR TRANSPLANTATION
• RECONSTRUCTION
• MICROGRAFTS
• MINIGRAFTS
• GRAFTS

BACKGROUND Follicular unit extraction (FUE) is becoming more popular in hair restoration. However, its potential for treating extensive scarring alopecia is unknown. @@@ METHODS Patients with scarring alopecia larger than 100 cm(2) were enrolled from 2015 to 2018. After assessing scar quality regarding vascularity, pliability, and thickness, dense-packing megasession (DPM)-FUE was performed on high-quality recipient sites. Patients were followed up at 1 week and 12 months postoperatively to evaluate complications, survival rates of grafts, and patient satisfactions. Cases of nonscarring alopecia were reviewed as controls. @@@ RESULTS Fifty-two scarring alopecia and 55 nonscarring alopecia patients were enrolled. The mean scar area was 120 cm(2), and the procedure required an average of 8 operative hours, with no difference between groups (p > .05). Graft amount and postoperative complications were similar as well (p > .05). The survival rate in scarring alopecia was lower than that in the control but was still 85% (p < .05). Follow-up photographs showed effective scar camouflage after DPM-FUE. Most patients were very satisfied with the final results (p > .05). @@@ CONCLUSION DPM-FUE is a safe and effective treatment for extensive scarring alopecia.

• 单位
  y; 南方医科大学