Follicular microautotransplantation in the treatment of patients with scalp scarring defects
https://doi.org/10.23873/2074-0506-2010-0-3-4-68-74
Abstract
Objective: to evaluate the efficiency of follicular microautotransplantation in the treatment of scarring alopecia.
Subjects and methods. The results of surgical treatment were analyzed in 62 patients with scalp scars at various sites after injuries, burns, and surgery. Surgical treatment was performed using follicular microautotransplantation. The surgery was made as an outpatient procedure (the patients did not need hospitalization) and it involved 4 basic stages. The efficiency of the surgical treatment for scarring alopecia was evaluated, by analyzing its early and late results. Gender, age, etiology, and scar time did not affect the results of the treatment.
Results. The early surgical results were assessed from indicators, such as the proportion of surviving grafts and the quality of restored hair. The late results were followed up for at least 9 months. The maximum follow-up was 2.8 years. The engraftment rate of transplanted follicles averaged 93.8%; it was 96.6% for a normotrophic scar.
Conclusion. Transfer of own hair by follicular microautotransplantation is an effective surgical treatment in patients with scalp scarring defects; it yields a good cosmetic effect and substantially improves quality of life in patients with scarring alopecia.
About the Authors
D. G. Papaskiri
State Institute for Postgraduate Training of Physicians, Ministry of Defense of the Russian Federation
Russian Federation
Department of Surgery
Russian Federation
Department of Surgery
N. A. Efimenko
State Institute for Postgraduate Training of Physicians, Ministry of Defense of the Russian Federation
Russian Federation
Department of Surgery
Russian Federation
Department of Surgery
A. A. Makharashvili
Maka-Med Multidisciplinary Surgery Clinic
Russian Federation
Russian Federation
A. E. Shestopalov
State Institute for Postgraduate Training of Physicians, Ministry of Defense of the Russian Federation
Russian Federation
Department of Surgery
Russian Federation
Department of Surgery
N. N. Kakiashvili
Maka-Med Multidisciplinary Surgery Clinic
Russian Federation
Russian Federation
A. B. Shekhter
I.M. Sechenov First Moscow State Medical University
Russian Federation
Laboratory of Experimental Pathomorphology, Research Center
Russian Federation
Laboratory of Experimental Pathomorphology, Research Center
A. E. Guller
I.M. Sechenov First Moscow State Medical University
Russian Federation
Laboratory of Experimental Pathomorphology, Research Center
Russian Federation
Laboratory of Experimental Pathomorphology, Research Center
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Review
For citations:
Papaskiri D.G., Efimenko N.A., Makharashvili A.A., Shestopalov A.E., Kakiashvili N.N., Shekhter A.B., Guller A.E. Follicular microautotransplantation in the treatment of patients with scalp scarring defects. Transplantologiya. The Russian Journal of Transplantation. 2010;(3-4):68-74. (In Russ.) https://doi.org/10.23873/2074-0506-2010-0-3-4-68-74
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