ОПТИМИЗАЦИЯ ХИРУРГИЧЕСКОЙ ТАКТИКИ ПРИ ЛЕЧЕНИИ ПОСЛЕОЖОГОВОЙ РУБЦОВОЙ АЛОПЕЦИИ ВОЛОСИСТОЙ ЧАСТИ ГОЛОВЫ: СРАВНИТЕЛЬНАЯ ОЦЕНКА МЕТОДОВ ПЛАСТИКИ
DOI:
https://doi.org/10.5281/zenodo.24008276Keywords:
post-burn cicatricial alopecia, scalp, tissue expansion, dermotension, tissue expander, reconstructive surgeryAbstract
Post-burn cicatricial alopecia of the scalp represents a challenging problem in reconstructive surgery and negatively affects patients' quality of life. This study analyzed the outcomes of surgical treatment in 55 patients with post-burn cicatricial alopecia. The main group comprised 28 patients who underwent prolonged tissue expansion using expanders. The comparison group included 27 patients treated with the acute dermotension method. Treatment outcomes were evaluated based on postoperative wound healing, the condition of transferred tissues, and the effectiveness of plastic defect closure. Good outcomes were achieved in 26 patients (92.9%) in the main group and 19 patients (70.4%) in the comparison group. The findings indicate that gradual tissue expansion may be a promising approach for closing scar defects using local hair-bearing tissues.References
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