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Bold to do - bald to be? Outcomes decades after harvesting the scalp in burned children.
- Source :
-
Burns : journal of the International Society for Burn Injuries [Burns] 2019 May; Vol. 45 (3), pp. 543-553. Date of Electronic Publication: 2018 Oct 15. - Publication Year :
- 2019
-
Abstract
- 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.<br />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.<br />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 <superscript>2</superscript> .<br />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.<br /> (Copyright © 2018 Elsevier Ltd and ISBI. All rights reserved.)
- Subjects :
- Adolescent
Adult
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Iatrogenic Disease epidemiology
Infant
Male
Middle Aged
Patient Outcome Assessment
Retrospective Studies
Switzerland epidemiology
Tissue and Organ Harvesting methods
Alopecia epidemiology
Burns surgery
Cicatrix, Hypertrophic epidemiology
Keloid epidemiology
Patient Satisfaction
Scalp transplantation
Skin Transplantation methods
Subjects
Details
- Language :
- English
- ISSN :
- 1879-1409
- Volume :
- 45
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Burns : journal of the International Society for Burn Injuries
- Publication Type :
- Academic Journal
- Accession number :
- 30337156
- Full Text :
- https://doi.org/10.1016/j.burns.2018.09.023