دوره 26، شماره 114 - ( 1-1397 )                   جلد 26 شماره 114 صفحات 13-1 | برگشت به فهرست نسخه ها

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Taheri K, Hosseini S N, Abdollahi Sabet S. Reconstruction of Scalp Scar and Alopecia with Multiple Tissue Expanders and Zigzag (Puzzle) as a New Method. J Adv Med Biomed Res 2018; 26 (114) :1-13
URL: http://journal.zums.ac.ir/article-1-4969-fa.html
طاهری کیومرث، حسینی سید نجات، عبداللهی ثابت سمیه. درمان آلوپسی (ریزش مو) و اسکار (جای زخم) روی سر با چند بافت گستر و به روش زیگزاگ (پازل): یک روش جدید. Journal of Advances in Medical and Biomedical Research. 1397; 26 (114) :1-13

URL: http://journal.zums.ac.ir/article-1-4969-fa.html

درمان آلوپسی (ریزش مو) و اسکار (جای زخم) روی سر با چند بافت گستر و به روش زیگزاگ (پازل): یک روش جدید
کیومرث طاهری1 ، سید نجات حسینی* 2، سمیه عبداللهی ثابت1
1- دانشگاه علوم پزشکی زنجان، زنجان
2- دانشگاه علوم پزشکی زنجان، زنجان ، nejat.hosini@zums.ac.ir
چکیده:   (158542 مشاهده)

Background and Objective: Repairing scalp scar and alopecia is a concern of surgeons. Treating it with tissue expander has indicated promising results in recent decades. This study provides a new method of using two tissue expanders simultaneously for tissue over expansion and repairing flaps’ edge with puzzle method.
Materials and Methods: This study was conducted on fifteen 5 to 34- year- old patients with scalp scar greater than 100 cm2. Two tissue expanders were used for each patient. Appropriate expansion was achieved with twice injections of 5-8 cc/cm2 (6.5 average) normal saline weekly during 80 days. In the second surgery, both tissue expanders were extracted and the scar was removed. Then, advancement and rotational flaps were prepared and the repair was carried out with puzzle method. The patients were followed up for 3-6 months.
Results: No case of wound infection and seroma was observed. Over expansion occurred with an average of 3.3 times larger than scar size. No evidence of expander extrude, flap necrosis or recurrent scarring with more than 3 mm width were seen. New scar became totally hidden with hair. No one needed hair follicle grafting. Patient satisfaction was good to excellent.
Conclusion: Using multiple tissue expanders to accelerate overexpansion and repairing with puzzle (zigzag) method reduces patient referral, waiting time, new scaring and complications and leads to promising cosmetic results.

متن کامل [PDF 3245 kb]   (158928 دریافت)    
نوع مطالعه: کارآزمایی بالینی |
دریافت: 1396/9/26 | پذیرش: 1396/9/26 | انتشار: 1396/9/26
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