Surgical treatment of secondary cicatricial alopecia of scalp and eyebrow

Secondary cicatricial alopecia occurs as a result of destruction of hair follicles by scar tissue formed in the scalp and eyebrows. It is a permanent condition and regrowth of hairs in the area is not expected. The purpose of the study was to select the appropriate method for treating cicatricial al...

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Main Author: Ahmed Sabry Hassan
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2009-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699315
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author Ahmed Sabry Hassan
author_facet Ahmed Sabry Hassan
author_sort Ahmed Sabry Hassan
collection DOAJ
description Secondary cicatricial alopecia occurs as a result of destruction of hair follicles by scar tissue formed in the scalp and eyebrows. It is a permanent condition and regrowth of hairs in the area is not expected. The purpose of the study was to select the appropriate method for treating cicatricial alopecia. 24 patients were admitted to our hospital during the period from June 2006 to July 2007. They were suffering from acquired cicatricial alopecia affecting the scalp and the eyebrow. Their ages ranged from 6-48 years with mean age 26-25 years. They were treated surgically by total excision of the lesions with direct closure of the defect in ten cases, excision of alopecia with advancement flaps with the aid of scalp expanders in seven cases, scalp reduction through serial excision of alopecia in three cases and excision of alopecia and reconstruction of the defect by strip composite hair-bearing scalp grafts in four cases. Our results suggest there are three key factors that decide the surgical methods for treating alopecia: size, location and shape. We also discuss and evaluate the various techniques of reconstruction. Good results were obtained in 18 patients.
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spelling doaj-art-5c8e8133b7a8449883ecf50f0da5dfa02025-08-20T03:34:53ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2009-01-01420106306710.1055/s-0039-1699315Surgical treatment of secondary cicatricial alopecia of scalp and eyebrowAhmed Sabry Hassan0Department of General Surgery, Faculty of Medicine, Reconstructive and Plastic Surgery Division, Al-Azhar University Hospital, EgyptSecondary cicatricial alopecia occurs as a result of destruction of hair follicles by scar tissue formed in the scalp and eyebrows. It is a permanent condition and regrowth of hairs in the area is not expected. The purpose of the study was to select the appropriate method for treating cicatricial alopecia. 24 patients were admitted to our hospital during the period from June 2006 to July 2007. They were suffering from acquired cicatricial alopecia affecting the scalp and the eyebrow. Their ages ranged from 6-48 years with mean age 26-25 years. They were treated surgically by total excision of the lesions with direct closure of the defect in ten cases, excision of alopecia with advancement flaps with the aid of scalp expanders in seven cases, scalp reduction through serial excision of alopecia in three cases and excision of alopecia and reconstruction of the defect by strip composite hair-bearing scalp grafts in four cases. Our results suggest there are three key factors that decide the surgical methods for treating alopecia: size, location and shape. We also discuss and evaluate the various techniques of reconstruction. Good results were obtained in 18 patients.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699315alopeciasecondary cicatricialscalp defects
spellingShingle Ahmed Sabry Hassan
Surgical treatment of secondary cicatricial alopecia of scalp and eyebrow
Indian Journal of Plastic Surgery
alopecia
secondary cicatricial
scalp defects
title Surgical treatment of secondary cicatricial alopecia of scalp and eyebrow
title_full Surgical treatment of secondary cicatricial alopecia of scalp and eyebrow
title_fullStr Surgical treatment of secondary cicatricial alopecia of scalp and eyebrow
title_full_unstemmed Surgical treatment of secondary cicatricial alopecia of scalp and eyebrow
title_short Surgical treatment of secondary cicatricial alopecia of scalp and eyebrow
title_sort surgical treatment of secondary cicatricial alopecia of scalp and eyebrow
topic alopecia
secondary cicatricial
scalp defects
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699315
work_keys_str_mv AT ahmedsabryhassan surgicaltreatmentofsecondarycicatricialalopeciaofscalpandeyebrow