Gigasessions with Combination of FUT and FUE in Asians
Gigasessions with Combination of FUT and FUE in Asians
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DOI：
10.1007/978-4-431-56547-5_35
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
A. Tsilosani
中科院分区：
文献类型：
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作者：
A. Tsilosani
结果的自然性和现代移植技术的可靠性毫无疑问，但是由于一次手术而生长的头发的密度引起了许多外科医生的关注。一切都是完美的情况下，当病人有低级别的雄激素性脱发。问题出现在高等级男性型脱发（诺伍德的V-VII级）与供体供应不足的患者中。为了获得良好的结果，他们需要大量的FU，6000- 12，000 FU移植。很难最大限度地收集捐献者。一个糟糕的手术结果实际上玷污了头发移植整个医学领域。这就是为什么在过去几年中，在毛发移植中最大化供体收获（4000和更多移植物）变得频繁的原因。4000-8000个毛囊单位（FU）的移植适用于高度秃发（诺伍德IV-VII级）的患者。最近提出了毛囊单位移植（FUT）程序的基本技术的各种修改，以进一步改善需要大型毛发移植手术的患者的结果。我们已经阐述了我们自己的技术相结合的FUT与毛囊单位提取（FUE）的两侧的FUT伤口，以减少紧张的头皮时，关闭大伤口后剥离切除。这项技术显著地扩大了平均和低头皮松弛患者可能移植的移植物数量。
Naturalness of the results and reliability of modern grafting technology causes no doubts, but the density of the grown hair as a result of one surgery concerns many surgeons. Everything is perfect in cases when the patient has low class of androgenic alopecia. Problems appear in patients with high classes of male pattern hair loss (V–VII classes by Norwood) with poor donor supply. For obtaining good results, they need huge number of FUs, 6000–12,000 FU transplantation. It’s quite difficult to maximize the donor harvesting. A poor surgical result literally tarnishes hair transplantation—an entire field of medicine. This is the reason why maximizing donor harvesting in hair transplantation (4000 and more grafts) became frequent during the last years. Transplantation of 4000–8000 follicular units (FUs) is intended for the patients with high levels of baldness (Norwood IV–VII classes). Various modifications of the basic technique of follicular unit transplantation (FUT) procedure were proposed recently for the further improvement of the results in patients who need big hair transplant surgery. We have elaborated our own technique of combination of FUT with the follicular unit extraction (FUE) on the both sides of the FUT wound in order to decrease the tension of the scalp when closing the big wound after strip excision. This technique significantly expands the number of grafts that might be transplanted in patients with average and low scalp laxity.