Follicular Unit Transplantation Versus Scalp Expansion in Management of Secondary Cicatricial Alopecia

Ads, Amr; Saeed, Mahmoud Abdel Nabi; Moossa, Ahmed Abo Hashem Azzab; Abdel Aal, Mohamed Hassan

doi:10.21608/ejprs.2020.113505

Follicular Unit Transplantation Versus Scalp Expansion in Management of Secondary Cicatricial Alopecia

Document Type : Original Article

Authors

¹ The Department of Plastic Surgery , Al-Shorouq Police Hospital, Cairo, Egypt

² The Department of Plastic & Reconstructive Surgery , Faculty of Medicine, Zagazig University, Egypt

10.21608/ejprs.2020.113505

Abstract

Background: The bad impact of cicatricial alopecia among
population leads to increase the desire of correcting that type
of hair loss. There are many methods of hair restoration, but
the efficacy of each, its indications and the possible hazards
hasn't yet been clearly identified.
Objective: To evaluate the use of two different techniques
for hair restoration in patients with secondary cicatricial
alopecia. Either using follicular unit extraction (FUE) or scalp < br />expanders (SE) to correct the deformity depending upon many
factors (Inclusion & Exclusion criteria). Indications, operative
time, Aesthetic outcome and complications are to be discussed.
Patients and Methods: This study included 30 patients
who were grouped into two populations. The first one (Group < br />A) those who underwent FUE included 13 cases while the
second group was SE (Group B) included 17. All of them
were suffering from secondary cicatricial alopecia and they
were grouped according to the surface area of the alopecia.
Results: The mean value of the surface area of alopecia
was significantly larger in the SE group than FUE group with
a p-value <0.001. Post-operative recovery was nearly similar
apart from being faster gain in group B and better hair density.
Conclusion: In management of secondary cicatricial
alopecia, many factors affect surgical planning. Both FUE
and SE are very useful tools in managing those patients when
properly selected and tailored to the patient

Keywords

Main Subjects

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