Treatment of scarring alopecia from trauma and surgical procedures in young patients using follicular unit hair transplantation

2021 ◽  
Author(s):  
Takashi Nuri ◽  
Norihisa Abe ◽  
Aritaka Sakamoto ◽  
Akitoshi Tsushima ◽  
Yoshiaki Kasai ◽  
...  
2018 ◽  
Vol 6 (6) ◽  
pp. 1095-1097 ◽  
Author(s):  
Alireza Mohebipour ◽  
Serena Gianfaldoni ◽  
Torello Lotti ◽  
Marigdalia K. Ramirez-Fort ◽  
Christopher S. Lange ◽  
...  

BACKGROUND: Hair transplantation has enhanced the realm of procedural dermatology. Before the advent of follicular transplantation, androgenetic alopecia was a difficult disease to manage, as there is a limited armamentarium of topical and systemic pharmaceuticals. However, as with other novel surgical procedures, there is a steep learning curve, that may result in poor transplantation or cosmesis.CASE REPORT: We present a case of androgenetic alopecia, where previously, poorly implanted hairs were recycled by follicular unit extraction to increase hair density at the vertex of the scalp, which resulted in improved cosmesis and patient satisfaction.CONCLUSION: We have demonstrated that re-transplantation is not only feasible but is effective; therefore redesigning of previous transplantations should be considered as a possible indication follicle unit extraction, particularly in the setting of scarce follicular reserves. The utility of our recycling method may also inspire hope in patients that have undergone failed or unsatisfactory hair transplantations.


2018 ◽  
Vol 2 (2) ◽  
pp. 140-143
Author(s):  
Allison L Limmer ◽  
Jennifer Krejci-Manwaring ◽  
Bobby L Limmer

Lichen planopilaris (LPP) and its variant frontal fibrosing alopecia (FFA) is a disfiguring alopecia that rarely yields satisfactory hair transplantation results. Grafts may grow initially only to be obliterated by re-activation of the disease within the first few months to years post-transplant. Here, we detail the management of a patient who was diagnosed and treated for breast carcinoma after her diagnosis of LPP/FFA. Two years after completion of chemotherapy, the patient presented with quiescence of her LPP and successfully underwent hair transplantation by follicular unit transplantation method. She has maintained the grafts without re-activation of her scarring alopecia for 7 years – a success we attribute to chemotherapy.


2018 ◽  
Vol 5 (2) ◽  
pp. 65-71 ◽  
Author(s):  
Chloe Ekelem ◽  
Christine Pham ◽  
Natasha Atanaskova Mesinkovska

2018 ◽  
Vol 29 (1) ◽  
pp. 77-82 ◽  
Author(s):  
Wayne Hoskins ◽  
Johnny Rayner ◽  
Rohan Sheehy ◽  
Harry Claireaux ◽  
Roger Bingham ◽  
...  

Introduction: High-energy femoral neck fractures in young patients can be devastating, with the risk of osteonecrosis, nonunion, malunion and lifelong morbidity. The aim of this study is to define the effects of patient, fracture and surgical factors on the outcome of high-energy femoral neck fractures in patients aged from 15 to 50 years. Methods: A retrospective review was conducted of high-energy femoral neck fractures in patients aged 15–50 managed surgically at a Level 1 Trauma Centre, using a prospectively recorded trauma database. Low energy trauma (including falls from <1 m), medical conditions adversely affecting bone density, and pathological fractures were excluded. A clinical and radiological review was performed. The primary outcome measures were the development of osteonecrosis or nonunion leading to total hip arthroplasty (THA). Secondary outcome measures included osteotomy or other surgical procedures, quality of reduction and malunion. Results: 32 patients meeting the inclusion criteria were identified between January 2008 and July 2015. The mean follow-up was 58.5 months (range 980–3,048 days). 3 patients (9.4%) required THA. No other surgical procedures were performed. None of the 29 other patients developed radiologically apparent osteonecrosis. Fracture type, displacement, anatomical reduction and fixation type were not statistically significant risk factors affecting these outcomes. For all patients, an average of 8% loss of femoral neck height and 10% femoral neck offset were seen. Conclusions: At a mean 4.9-year follow-up, the incidence of high-energy femoral neck fractures leading to THA was 9.4%, as a consequence of osteonecrosis or nonunion. Malunion was common.


2020 ◽  
Vol 25 (2) ◽  
Author(s):  
Sylwia Kuderewska ◽  
Elżbieta Łuczaj-Cepowicz ◽  
Grażyna Marczuk-Kolada

Radicular cyst is the most common odontogenic cyst. This condition can be asomptymatic, it may be accidentally detected on radiographs. Among the treatment methods we distinct conservative, surgical and conservative-surgical procedures. This article presents the case of a 15-year old male patient. He was reported to endodontic treatment of tooth 22 with extensive periapical lesion. Intraoral examination showed a change in the colour of the tooth crown, negative reaction to ethyl chloride, palpable slight excessive growth around the root of the tooth 22 and positive Smreker’s test. The radiographic examination showed the presence of a large 11 x 10 mm diameter radiolucent lesion covering 2/3 of the root lenght of tooth 22. Antiseptic root canal treatment was used. Complete healing of the periapical lesion was observed after 9-months treatment. Conservative treatment of root cysts, especially in young patients, may lead to complete healing of the lesion, which will allow to avoid the need for surgery intervention or at least reduce its extent.


2016 ◽  
pp. 353-353
Author(s):  
Venkataram Mysore ◽  
Ravi Bhushan

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