ABSTRACT
Background and objective: Reconstruction of post burn scalp alopecia using tissue expansion represents, nowadays, the standard method of treatment for this pathology. Tissue expansion is a straightforward technique, providing large skin flaps whose color and texture matches the area to be reconstructed, achieving optimal final aesthetic result. The aim of this study was to evaluate the results and complications of using tissue expansion for post burn scalp alopecia reconstruction
Methods: Thirty four patients having post burn scalp alopecia were treated with scalp tissue expansion, using forty tissue expanders at Rizgary Teaching Hospital in Erbil from February 2009 to December 2014. The age group ranged from 7-35 years and the mean age of the patients was 16 years. Statistical package for the social sciences [version 18] was used for data entry and analysis
Results: Complete reconstruction of post burn alopecia was achieved in 82.35% of the total patients with either a single or multiple sessions of expansions. The remaining 17.65% were benefited from reduction in the percentage of scar and recreation of anterior hair line. The size of scalp alopecia ranged between 4x7cm-11x20cm. Major complications occurred in 3 cases [8.8%], in which the expansion process was interrupted with removal of expander, while minor complications happened in 4 cases [11.76%], which did not interrupt the expansion
Conclusion: The use of tissue expansion for reconstruction of post burn alopecia is a useful and safe technique, since it is the only procedure that allows the development of normal hair bearing tissue to cover the areas of alopecia
ABSTRACT
Background: Prominent ear is one of the most common congenital deformities of the head and neck region. It can affect the aesthetics and psychosocial aspects of patients. There are over 170 techniques described in the literatures, but many do not adequately address the specific problem and can prove unstable. Technique selection in otoplasty should be done only after careful analysis of the abnormal anatomy responsible for the protruding ear deformity
Objective: To evaluate the outcome of combined conchal excision, concho-scaphal sutures, and concho-mastoid sutures techniques for treatment of prominent ear
Patients and methods: A retrospective study was performed on 38 patients, from February 2009 to September 2014. All patients who had prominent ear were included in this study, except those who had constricted ear and secondary otoplasty. A combined method of conchal excision, concho-scaphal suture, and conchomastoid suture technique was used for correction of prominent ear. The follow-up period was 6 -19 months [mean, 14 months]. Data were entered and analyzed using the statistical package for social sciences SPSS version [18]
Results: In 38 patients who underwent otoplasty for prominent ear [24 were males and 14 were female], this technique of combined method used for all patients who had underdevelopment of antihelix and conchal hypertrophy. This technique allowed for correction of prominent ears to achieve a natural appearance. It achieved good to excellent symmetry in 95% of the patients and a low rate of complications. There were no major complication like skin necrosis or infection, but one patient develops small hematoma, another patient develops suture granuloma and extrusion and one patient had mild telephone deformity
Conclusion: This Technique is simple, versatile and applicable to all age groups, as well as its easy, safe and less recurrence rate with fewer complications and excellent long-term aesthetic outcomes