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KMID : 0376119930200020303
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Medical Journal of the Red Cross Hospital
1993 Volume.20 No. 2 p.303 ~ p.308
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A Case of Expander for Large Alopecia
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Abstract
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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 case 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 was first introduced by Dr. Neumann, who attempted an ear reconstruction using a latex balloon with a valve and connector tube lying
outside
the skin in 1957 and Radovan, who introduced more safer and controllable soft tissue expansion.
In this case, 6 year old male patient had been suffered from large postburn alopecia(23×12cm), who reconstructed by using tissue expander. The alopecia was successfully reconstructed without any major complication.
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