ABSTRACT
Las quemaduras químicas en cuero cabelludo, que se producen en lugares públicos como salones de belleza o peluquerías causadas por mezclas de sustancias activas como persulfatos y peróxido de hidrógeno, secundarias a la decoloración de cabellos, producen graves secuelas de alopecias en pacientes jóvenes. Se trata de un caso clínico, de quemadura química, espesor completo, extensa, en cuero cabelludo. Productos utilizados en forma cotidiana en salones de belleza, peluquerías o domicilios, que tiene estrecha relación con el daño. Resolución del caso con colgajos locales, con tiempos de internación y quirúrgicos cortos, en tiempos de COVID. Enfoque de la falta de control de sustancias usadas en peluquerías, pocos casos publicados y secuelas psicosociales importantes, con pronta mejoría de calidad de vida y reinserción social
Chemical burns in scalp after hair bleaching are produced in public places such as hairdressing salons and are caused by the combination of active agents like persulfate and hydrogen peroxide. The burns leave severe sequels of alopecia in young patients. This is about a clinical case of a chemical burn in the sculp which is full thickness and has a great large. Products used on a daily basis in hairdressing salons or in the domiciles have a close connection with the hurt. In times of COVID the case was resolved with local flaps, and short period of hospitalization and surgical. Focus on the lack of control in the usage of substances made by hairdressing salons, the existence of few published cases and the main psychosocial sequels, a speedy recovery in the quality of life and social reintegration
Subject(s)
Humans , Adult , Quality Control , Scalp/anatomy & histology , Scalp/injuries , Surgery, Plastic/methods , Burns, Chemical/therapy , Tissue Expansion , Skin Transplantation/rehabilitation , Permissible Limit of Occupational Hazards/prevention & control , Hydrogen Peroxide/toxicityABSTRACT
Este artículo de actualización revisa en primer término, brevemente la historia de la reconstrucción de cuero cabelludo y la anatomía en aquellos detalles que son importantes para el cirujano que asume el compromiso de efectuar una reconstrucción de cuero cabelludo. A continuación, se revisa las técnicas quirúrgicas generalmente aceptadas y uso frecuente que pueden aplicarse de acuerdo a la profundidad y l extensión de la pérdida del cuero cabelludo. Por último, se destaca la importancia de realizar siempre una buena planificación en el diseño y manejo de los colgajos utilizados para evitar la pérdida de un recurso de tejidos siempre limitado
Subject(s)
Humans , Plastic Surgery Procedures/methods , Scalp/surgery , Surgical Flaps , Craniocerebral Trauma/complications , Plastic Surgery Procedures/instrumentation , Prostheses and Implants , Radiotherapy/adverse effects , Scalp/anatomy & histology , Scalp/blood supplyABSTRACT
This study was done on 12 patients with post-burn alopecia of the scalp. Tissue expander techniques were performed on those patients using the balloon expander. The expanders were inflated weekly with saline under the hair bearing area, in the subgaleal and the supra- periosteal plane. The aim of this work was to study the tissue response around the expanders, which is called the formed capsule. The histopathological study showed that the capsule is formed of four zones inner cellular zone, central zone of fibrous tissue and elastic fibers, transitional zone of hyalinized fibrous tissue, and outer zone of newly formed blood vessels. Every zone has its clinical significance, particularly the inner one, which contains inflammatory cellular reaction, in playing a role in infection resistance. The outer one, the vascular zone, adds blood supply to the overlying hair bearing area of the scalp