Correction of Primary Cicatricial Alopecia原发性瘢痕性秃发的手术矫正ppt课件.pptxVIP

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Correction of Primary Cicatricial Alopecia原发性瘢痕性秃发的手术矫正ppt课件.pptx

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Correction of Primary Cicatricial Alopecia原发性瘢痕性秃发的手术矫正ppt课件

Surgical?Correction of Primary Cicatricial Alopecia Dr. Ekrem Civas – DermatologistDr. Anda? Aykan - Plastic surgeonProf. Dr. Muhitdin Eski - Plastic Sekremcivas@00 90 312 437 07 37DISCLOSURES No relevant financial relationships or conflicts of interest to declare. VIDEO, PHOTOGRAPHY AUDIO RECORDING POLICY Video recording and/or photography are strictly prohibited in all educational sessions. IntroductionPrimary Cicatricial Alopecia (PCA) is a poorly understood group of hair loss disorders in which follicles are irreversibly destroyed and transformed to scar like fibrous tissue resulting in permanent hair loss in the affected area.Why Surgical Correction?Unfortunately, the currently available medical treatment options for PCA are only limited to slow down/stop the progression of the disease and eliminate the symptoms.There is no treatment method that can stimulate hair follicle neogenesis in the human scalp at present. Follicles destroyed by PCA will never re-grow hair.Why Surgical Correction?Once progression of the disease is burned out; there is need to cosmetically camouflage the residual scarred areas.With sufficient donor hair, autologous hair transplantation is the only corrective surgery approach to cover the bald patches; provided the disease is stable.ObjectivesDifferent considerations have been presented in literature on the question of the optimal minimum stability period before hair transplantation (1 or 2 years).ObjectivesCan the disease re-activate years later after stability?Publication shows that re-activation of the disease was inconspicuous.There are only few studies in the literature that show long-term results of surgical treatments. Can we state that patients beyond the active stage of PCA are surgically stable alopecia?ObjectivesLiterature on surgical correction of SCA reveal that hair transplantation can be done on the scar tissue in suitable conditions;Sufficient Donor hairNo medical contraindicationsSufficient blood supply in the scarT