Bilateral temporoparietal flaps in the treatment of male baldness

This article presents the bilateral temporoparietal flap method for treating frontal baldness. In this procedure symmetrical flaps 2.0–3.0 cm wide are moved from the hairy temporoparietal region to the frontal part of the head and joined in the middle. The surgery can be done simply with no delays and under local anesthesia. The hair on both flaps grows upward, but it covers the top of the head to give it a thick feeling.     

An alternative flap in the treatment of baldness

This is a report of a new flap for baldness which gives a full frontal hairline with the hair pointing forward. The flap donor area is grafted with the patient's scalp skin and homografts, avoiding a split skin donor site. In addition, the flap donor area after closure is well hidden.     

Treatment of male pattern baldness with a one-stage flap

A 1-stage correction of baldness is described, using a vertical preauricular or retroauricular flap, and employing local anesthesia rather than general anesthesia.     

毛囊显微移植技术治疗秃顶──附565例临床分析

目的　观察毛囊显微移植治疗秃顶的临床效果。方法　通过毛囊显微移植技术治疗各种秃顶脱发 5 6 5例 ,随访时间平均 1年 (8～ 14个月 )。结果　术后平均 2～ 3个月长出头发 ,5～ 6个月达到初步视觉效果。 5 6 5例手术中 ,男女性正常脱发及眉毛移植的毛囊存活率为 95 %～ 10 0 % ,瘢痕毛囊移植存活率达 90 %以上 ,头发生长速度、发质粗细度均保持了供发区毛发的特性。结论　该手术时间短 ,恢复快 ,经过 3年临床观察 ,该技术在中国人群中能达到良好的效果。     

头皮扩张后皮瓣移位修复毛发缺损

目的 观察扩张后头皮瓣移位修复毛发缺损的效果。方法 按发区缺损的范围。形状，于正常发区边缘埋置1-3个大小不等的扩张器，间隔3d注射生理盐水扩张，3-7周后移位修复缺损区。结果 临床应用20例，30个扩张囊，除2例扩张中期部分扩张器外露，其余均正常。结论应用扩张后的头皮瓣修复发区缺损。使用灵活，效果可靠。小面积缺损可用1个扩张器，大面积缺损可同时应用多个扩张器，供区不需植皮，修复的发区外形满意。     

A new scalp flap for baldness

The technique and results of a new scalp flap that solves frontal baldness are described. As a bipediculate flap it offers a great amount of hair when advanced and has a low rate of complications. This kind of flap has been used by us for four years in 36 patients in the age group between 20 and 60 years. The results obtained with the flap have been very satisfactory.     

Surgical treatment for baldness

Surgery is a successful method for the treatment of alopecia. In particular, use of a parietal-occipital flap in a 3-stage operation has given satisfactory results with few serious complications to patients treated over the past 15 years by the authors. The technique is described and the results in several patients are portrayed.     

应用微小有发头皮片移植体治疗男性型秃发

目的 探讨使用微小有发头皮片移植术治疗男性型秃发的临床效果。方法 对18例男性型秃发患者进行22次自体微小有发头皮片移植术,其中16例进行1次移植,1例2次移植,1例4次移植。结果 12例术后随访6～9个月,外观较术前明显改善,无并发症发生。结论 应用微小有发头皮片移植治疗男性型秃发,术后移植头发存活率高,外观自然,但一次种植仍显稀疏,有时需2次或多次移植。     

Novel skin graft donor site for the scalp transposition flap

Transposition scalp flaps are a versatile solution for soft-tissue cover in a multitude of scalp defects. They are frequently used to reconstruct larger skin cancers that involve the outer table of the cranium in addition to covering neurosurgical bony defects and hardware. The transposition flap requires the donor site to be grafted using a split-thickness graft, which results in a secondary wound elsewhere on the body, commonly the lateral thigh. Although quite routine in such surgery, this procedure does require another body area to be prepared and draped. We sought to streamline this procedure with an adjustment to the location of the donor site. In harvesting the graft from the skin of the flap itself, we localised all surgery to one area, which has a number of logistical and patient-care advantages. Our experience has shown significant benefits from this technique and this is now our chosen and recommended donor site for these reconstructions.     

Single-stage surgical treatment of frontal baldness

Since Lamont first presented his hairflap procedure over 15 years ago for correction of frontal baldness, a number of changes and improvements in the technique have taken place. The author presents a one-stage temporo-parieto-occipital flap procedure that has developed from the work of Lamont and Juri.     

相机快门样皮瓣在头皮缺损修复中的应用

目的:探讨中小面积头皮缺损的皮瓣修复方法。方法:对我院自2007年1月以来收治的24例中小面积的头皮缺损患者行相机快门样皮瓣修复,观察手术治疗效果。结果:22例均Ⅰ期修复,2例皮瓣远端少许坏死,经换药愈合,效果满意。结论:相机快门样皮瓣是一种修复中小面积头皮缺损的有效方法。     

游离串联皮瓣修复颅骨外露头皮缺损的应用

摘要 目的 探讨合并颅骨外露的大面积头皮缺损的修复方法。方法 应用游离前臂皮瓣及游离股前外侧皮瓣,串联后修复外伤致合并骨外露的头皮缺损7例。将前臂皮瓣血管蒂近端与甲状腺上动脉和颈内静脉吻合,远端与股前外侧皮瓣血管蒂吻合。无骨外露的缺损用游离植皮修复。结果 7例皮瓣存活良好,修复的头皮外观良好,质地柔软。结论 将游离前臂皮瓣和股前外侧皮瓣串联移植,修复大面积头皮缺损临床效果满意。     

Omental free flap for the treatment of serious scarring results in the head

Four cases of tumors and one case of unstable and chronically ulcerated scar of the scalp, treated with the omental free flap, are presented in this paper. In two cases the skull was reconstructed with an autologous bone graft. The final aesthetic result was good, bearing in mind the initial pathology. Received: 24 March 1999 / Accepted: 4 December 1999     

Expansion-assisted treatment of male pattern baldness

Scalp expansion has been combined with scalp reduction and flap procedures for the treatment of male pattern baldness. Expansion offers the advantages of a safe and reliable procedure, as well as more coverage in a shorter period of time. The techniques described involve bilateral temporal parietal occipital (TPO) expanders followed by either a frontal TPO flap and contralateral scalp reduction or bilateral TPO flaps. Both procedures leave areas of baldness in patients with more extensive losses (Juri classes II and II). Further expansion may be used for further coverage of residual bald areas.     

头皮扩张术结合颞浅血管岛状头皮瓣转移修复不规则烧伤性秃发

在应用头皮组织扩张技术修复头皮瘢痕秃发区的基础上，我们结合颞浅血管为蒂的岛状头皮瓣移植，修复特殊的部位，如发际、鬓角及不规则的秃发区，弥补了常规头皮扩张后以局部皮瓣转移的方式进行修复的不足。同时可将片状瘢痕无发区中存留下来的一块或几块有头发的头皮，形成以颞浅血管为蒂的岛状皮瓣，充分利用，合理分配残留下来的头皮资源，结合头皮扩张来修复其它秃发区及岛状皮瓣的供区。本组病人１２ 例，均为男性，其中修复鬓角８ 例，额部发际４ 例；最大秃发面积１６５ｃｍ２ ，岛状瓣最大面积５５ｃｍ２ ；最小面积为６ｃｍ２ ，秃发区修复率达９６％ ，岛状头皮瓣成活率１００ ％ ，术后随访２～５ 年，疗效满意。     

Clinical applications of temporoparietal hair-bearing flaps for male pattern baldness and mustache formation

This article demonstrates some variations and clinical applications of pedicled, vascularized, hair-bearing temporoparietal flaps. The most important advantages are that the baldness can be repaired in one operation, there is no loss of scalp skin, the procedure can be done under local anesthesia, and it is not necessary to hospitalize the patient or to give a blood transfusion due to the use of a cephalic tourniquet. We also use the temporoparietal flap for mustache formation in cases in which we have to camouflage a scarred upper lip as a result of bilateral cleft lip secquelae, trauma, or cancer. Island hairbearing flaps are transferred from the scalp to the upper lip through a hemirhytidoplasty incision.     

游离股前外侧动脉穿支皮瓣在头皮缺损中的应用

[摘要] 目的：探讨游离股前外侧皮瓣在头皮缺损修复中的临床经验。方法：切取股前外侧皮瓣,将旋股外侧动脉降支主干及其伴行静脉与颞浅动静脉吻合,修复头皮缺损。自2010年1月到2013年6月,共21例病例行该手术方法治疗头皮缺损,其中男14例,女7例,年龄8岁-56岁,平均年龄33.1±6.7岁。结果：术后随访1年到2年,皮瓣质地色泽好,皮瓣长宽(5cm-13cm)*(8cm-20cm)大小,平均面积大小6.7cm*17cm,所有皮瓣均完全成活,1例术后出现血管危象,经过手术探查,重新吻合,解除危象,成功覆盖创面。结论：股前外侧穿支粗大,皮瓣血运可靠,皮瓣可切取的面积可塑性大,且股前外侧动脉及伴行静脉口径和颞浅血管动静脉接近,是可供选择修复头皮缺损的皮瓣之一。     

颞浅动脉顶支扩张岛状皮瓣在修复头皮缺损中的应用

目的 探讨颞浅动脉顶支扩张岛状皮瓣在修复复杂头皮缺损中的应用.方法 通过在扩张头皮瓣上设计以颞浅动脉顶支为蒂的岛状皮瓣,转移修复复杂头皮缺损25例,并观察其愈合和修复效果.结果 25例患者,24例皮瓣完全存活,1例患者因皮瓣张力过大出现部分坏死,但通过清创及换药后愈合.术后随访6～12个月,头皮缺损修复部位与周围皮肤色泽、质地相似,外形恢复满意,皮瓣供受区毛发生长良好,创面愈合良好,无并发症发生.结论 应用颞浅动脉顶支为蒂的岛状扩张皮瓣修复复杂头皮缺损,皮瓣存活良好,皮瓣设计、转移灵活,修复范围较大,皮瓣与周边头皮衔接良好,是修复复杂头皮缺损的一种良好方法,值得应用和推广.