Bold to do - bald to be? Outcomes decades after harvesting the scalp in burned children.
Adolescent
Adult
Alopecia
/ epidemiology
Burns
/ surgery
Child
Child, Preschool
Cicatrix, Hypertrophic
/ epidemiology
Female
Follow-Up Studies
Humans
Iatrogenic Disease
/ epidemiology
Infant
Keloid
/ epidemiology
Male
Middle Aged
Patient Outcome Assessment
Patient Satisfaction
Retrospective Studies
Scalp
/ transplantation
Skin Transplantation
/ methods
Switzerland
/ epidemiology
Tissue and Organ Harvesting
/ methods
Alopecia
Burns
Children
Long-term outcome
Scalp
Split thickness skin graft
Journal
Burns : journal of the International Society for Burn Injuries
ISSN: 1879-1409
Titre abrégé: Burns
Pays: Netherlands
ID NLM: 8913178
Informations de publication
Date de publication:
05 2019
05 2019
Historique:
received:
09
04
2018
revised:
03
09
2018
accepted:
13
09
2018
pubmed:
20
10
2018
medline:
25
1
2020
entrez:
20
10
2018
Statut:
ppublish
Résumé
The scalp is the only hidden donor site for split thickness skin grafts. Nevertheless, it is underappreciated due to fear of iatrogenic scarring alopecia. Long-term data showing whether androgenetic hair loss can reveal previously hidden scarring alopecia is unavailable. We aimed to evaluate results and patient satisfaction up to 30years after skin harvest from the scalp. Burn patients, hospitalized between 1977 and 1987 at the University Children's Hospital Zurich with scalp skin harvest and currently over 30years old, were studied. Medical records and patient satisfaction were analyzed, and a clinical scalp examination was performed. Thirty-two patients (18 males, 14 females) with a current age of 34.13±3.42years participated. Mean follow-up time was 27.09±3.04years. Fifty-four scalp harvests were performed with 1.69±0.96 sequential harvests. Hair growth was considered normal in 97% patients. Androgenetic alopecia (AGA) type Norwood II-VI was seen in 11 patients. Scalp examination revealed 11 unknown likely harvest-related alopecias with a mean size of 0.7cm Long-term morbidity of scalp skin harvest and the risk of clinically significant alopecia is very low while patient satisfaction is high. AGA is unlikely to reveal harvest damage previously hidden by regrown hair.
Sections du résumé
BACKGROUND
The scalp is the only hidden donor site for split thickness skin grafts. Nevertheless, it is underappreciated due to fear of iatrogenic scarring alopecia. Long-term data showing whether androgenetic hair loss can reveal previously hidden scarring alopecia is unavailable. We aimed to evaluate results and patient satisfaction up to 30years after skin harvest from the scalp.
METHODS
Burn patients, hospitalized between 1977 and 1987 at the University Children's Hospital Zurich with scalp skin harvest and currently over 30years old, were studied. Medical records and patient satisfaction were analyzed, and a clinical scalp examination was performed.
RESULTS
Thirty-two patients (18 males, 14 females) with a current age of 34.13±3.42years participated. Mean follow-up time was 27.09±3.04years. Fifty-four scalp harvests were performed with 1.69±0.96 sequential harvests. Hair growth was considered normal in 97% patients. Androgenetic alopecia (AGA) type Norwood II-VI was seen in 11 patients. Scalp examination revealed 11 unknown likely harvest-related alopecias with a mean size of 0.7cm
CONCLUSIONS
Long-term morbidity of scalp skin harvest and the risk of clinically significant alopecia is very low while patient satisfaction is high. AGA is unlikely to reveal harvest damage previously hidden by regrown hair.
Identifiants
pubmed: 30337156
pii: S0305-4179(18)30845-3
doi: 10.1016/j.burns.2018.09.023
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
543-553Informations de copyright
Copyright © 2018 Elsevier Ltd and ISBI. All rights reserved.