Journal article
Bold to do - bald to be? Outcomes decades after harvesting the scalp in burned children.
- Neuhaus K Pediatric Burn Center, Division of Plastic and Reconstructive Surgery, Department of Surgery, University Children's Hospital Zurich, Steinwiesstrasse 75, 8700 Zurich, Switzerland; Children's Research Center, University Children's Hospital Zurich, Steinwiesstrasse 75, 8700 Zurich, Switzerland.
- Schiestl C Pediatric Burn Center, Division of Plastic and Reconstructive Surgery, Department of Surgery, University Children's Hospital Zurich, Steinwiesstrasse 75, 8700 Zurich, Switzerland; Children's Research Center, University Children's Hospital Zurich, Steinwiesstrasse 75, 8700 Zurich, Switzerland. Electronic address: clemens.schiestl@kispi.uzh.ch.
- Adelsberger R Pyramid Clinic at the Lake, Centre for Plastic Surgery, Bellerivestrasse 34, 8034 Zurich, Switzerland.
- Weibel L Children's Research Center, University Children's Hospital Zurich, Steinwiesstrasse 75, 8700 Zurich, Switzerland; Pediatric Dermatology Department, University Children's Hospital Zurich, Steinwiesstrasse 75, 8700 Zurich, Switzerland; Dermatology Department, University Hospital Zurich, Rämistrasse 100, 8091 Zurich, Switzerland.
- Meuli M Pediatric Burn Center, Division of Plastic and Reconstructive Surgery, Department of Surgery, University Children's Hospital Zurich, Steinwiesstrasse 75, 8700 Zurich, Switzerland; Children's Research Center, University Children's Hospital Zurich, Steinwiesstrasse 75, 8700 Zurich, Switzerland.
- Böttcher-Haberzeth S Pediatric Burn Center, Division of Plastic and Reconstructive Surgery, Department of Surgery, University Children's Hospital Zurich, Steinwiesstrasse 75, 8700 Zurich, Switzerland; Children's Research Center, University Children's Hospital Zurich, Steinwiesstrasse 75, 8700 Zurich, Switzerland.
- 2018-10-20
Published in:
- Burns : journal of the International Society for Burn Injuries. - 2019
Alopecia
Burns
Children
Long-term outcome
Scalp
Split thickness skin graft
Adolescent
Adult
Alopecia
Burns
Child
Child, Preschool
Cicatrix, Hypertrophic
Female
Follow-Up Studies
Humans
Iatrogenic Disease
Infant
Keloid
Male
Middle Aged
Patient Outcome Assessment
Patient Satisfaction
Retrospective Studies
Scalp
Skin Transplantation
Switzerland
Tissue and Organ Harvesting
English
BACKGROUND
The scalp is the only hidden donor site for split thickness skin grafts. Nevertheless, it is underappreciated due to fear of iatrogenic scarring alopecia. Long-term data showing whether androgenetic hair loss can reveal previously hidden scarring alopecia is unavailable. We aimed to evaluate results and patient satisfaction up to 30years after skin harvest from the scalp.
METHODS
Burn patients, hospitalized between 1977 and 1987 at the University Children's Hospital Zurich with scalp skin harvest and currently over 30years old, were studied. Medical records and patient satisfaction were analyzed, and a clinical scalp examination was performed.
RESULTS
Thirty-two patients (18 males, 14 females) with a current age of 34.13±3.42years participated. Mean follow-up time was 27.09±3.04years. Fifty-four scalp harvests were performed with 1.69±0.96 sequential harvests. Hair growth was considered normal in 97% patients. Androgenetic alopecia (AGA) type Norwood II-VI was seen in 11 patients. Scalp examination revealed 11 unknown likely harvest-related alopecias with a mean size of 0.7cm2.
CONCLUSIONS
Long-term morbidity of scalp skin harvest and the risk of clinically significant alopecia is very low while patient satisfaction is high. AGA is unlikely to reveal harvest damage previously hidden by regrown hair.
The scalp is the only hidden donor site for split thickness skin grafts. Nevertheless, it is underappreciated due to fear of iatrogenic scarring alopecia. Long-term data showing whether androgenetic hair loss can reveal previously hidden scarring alopecia is unavailable. We aimed to evaluate results and patient satisfaction up to 30years after skin harvest from the scalp.
METHODS
Burn patients, hospitalized between 1977 and 1987 at the University Children's Hospital Zurich with scalp skin harvest and currently over 30years old, were studied. Medical records and patient satisfaction were analyzed, and a clinical scalp examination was performed.
RESULTS
Thirty-two patients (18 males, 14 females) with a current age of 34.13±3.42years participated. Mean follow-up time was 27.09±3.04years. Fifty-four scalp harvests were performed with 1.69±0.96 sequential harvests. Hair growth was considered normal in 97% patients. Androgenetic alopecia (AGA) type Norwood II-VI was seen in 11 patients. Scalp examination revealed 11 unknown likely harvest-related alopecias with a mean size of 0.7cm2.
CONCLUSIONS
Long-term morbidity of scalp skin harvest and the risk of clinically significant alopecia is very low while patient satisfaction is high. AGA is unlikely to reveal harvest damage previously hidden by regrown hair.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.burns.2018.09.023
- PMID 30337156
- Persistent URL
- https://sonar.ch/global/documents/47576
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