Various surgical methods have been used in an attempt to achieve a normal -looking growth of hair in scalp alopecia. A variety of flaps have been applied both for primary closure and for secondary repair, but flaps very seldom result in the correct direction of hair growth. In cave of more extensive scalp alopecia, the shifting of flaps would only mean to move one denuded area to another, owing to inelasticity of the scalp tissue. Split-skin grafts still have to be used in such cases, which will remain hairless.
Nowadays, tissue expansion became the one of the most popular technique in the field of plastic surgery since it kwas first introduced by Dr. Neumann, who attempted an ear reconstruction using a latex balloon with a valve and a connector tube lying outside the skin in 1957 and Radovan, who introduced more safer and controllable soft tissue expansion.
In this paper, 15 cases of scalp alopecia were operated by using tissue expansion from September, 1988 to September, 1990. All cases were successfully reconstructed with 4 major complication. This complications were hematoma, infection, wound separation, tissue necrosis. Here, presentative cave reports are prevented and the management and prevention of complications are discussed.
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