Feasibility of Platelet Rich Plasma Use in Hair Transplantation in Treatment of Post Burn Scar

Document Type : Research article

Authors

The Department of General Surgery, Faculty of Medicine, Benha University

Abstract

Background: Management of post burn alopecia has been
an obstacle to plastic surgeons nowadays, there is variable
surgical methods which makes it difficult to choose the suitable
treatment for each patient.
Objective: To assess the feasibility of platelet rich plasma
use in hair transplantation in treatment of post burn scar
alopecia to choose of the suitable treatment algorithm for this
type of deformity to obtain the highest possible patient satisfaction
rate with the least-possible complication rate.
Methods: This prospective clinical study was conducted
in Benha University Hospitals, Plastic and Burn Surgery
Department in the period between January 2021 and January
2022. 20 patients with post burn alopecia were included in
the study. Patients were randomized using envelop method
into two groups, where each group contains 10 patients as
follows: Group A: Patients received local intradermal PRP
injections one week before hair transplantation followed by
two injections 2 and 4 weeks postoperatively. Group B (Control
group): Patients underwent hair transplantation only without
any kind of local injections.
Results: Using this procedure is less invasive, less expensive
with less post-operative burden on the patients. However,
it requires special skills for proper harvesting and inserting
of follicular grafts. Operative time and number of sessions
were reasonable and convenient to the patients. Complications
were quite mild and acceptable to the patients.
Conclusion: It was concluded that using PRP in FUE is
useful in treatment of post burn alopecia, hair transplantation
has less hazards during anesthesia, less post-operative complications
and shorter recovery time than the other procedures
of hair restoration.

Keywords

Main Subjects

References

1- Pratt C., King J., Messenger A., Christiano A. and Sundberg
J.: Alopecia areata. Nat. Rev. Dis. Primers, 16; (3): 17011.
2017.
2- Alshahat O., Taha A. and Abdulaziz M.: Assessment the
Role of Platelet Rich Plasma in Follicular Unit Extraction
Hair Transplantation. Al-Azhar International Medical
Journal, 1 (5): 140-151, 2020.
3- Dhurat R. and Sukesh M.: Principles and Methods of
Preparation of Platelet-Rich Plasma: A Review and Author's
Perspective. J. Cutan Aesthet. Surg., Vol. 7 (4): pp.
189-197, 2014.
4- Farjo B., Farjo N. and Williams G.: Hair transplantation
in burn scar alopecia. Scars Burn Heal., Vol. 1: 2059513,
pp. 115607764, 2015.
5- Saeed M., Hoota A. and Khallaf A.: Follicular Unit Extraction
in Management of Secondary Cicatricial Alopecia.
Al-Azhar International Medical Journal, 2 (8): 11-17.
2021.
6- Garg A. and Garg S.: Donor Harvesting: Follicular Unit
Excision. J. Cutan Aesthet. Surg., 11 (4): 195-201, 2018.
7- Lin M., Lin C., Hu S. and Chung W.: Progress in the Use
of Platelet-rich Plasma in Aesthetic and Medical Dermatology.
J. Clin. Aesthet. Dermatol., 13 (8): 28-35, 2020.
254 Vol. 46, No. 3 / PRP Use in Hair Transplantation for Post Burn Scar
Egypt, J. Plast. Reconstr. Surg., July 2022 255
8- Mannava S., Chahla J., Geeslin A., Cinque M., Whitney
K., Evans T., Frangiamore, Salvatore J., LeBus G., Godin
J., LaPrade R. and Philippon M.: Platelet-Rich Plasma
Augmentation for Hip Arthroscopy. Arthroscopy Techniques,
6 (3): e763-e768, 2017.
9- Saxena D., Kuldeep S., et al.: “Successful Hair Transplant
Outcome in Cicatricial Lichen Planus of the Scalp by
Combining Scalp and Beard Hair Along With Platelet
Rich Plasma.” Journal of cutaneous and aesthetic surgery,
Vol. 9 (1): pp. 51-5, 2016.
10- Shao H., Hang H., Yunyun J., Hongfei J., Chunmao H.,
Zhang J. and X. Guo: Follicular unit transplantation for
the treatment of secondary cicatricial alopecia. Plastic
Surgery, Vol. 22 (4): pp. 249-253, 2014.
11- Hassan I., Abdullah Z. and Jeelani S.: Hair Transplantation
in Cicatricial Alopecia: A Preliminary Report, 2014

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