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Postoperative pressure-induced alopecia after segmental osteotomy at the upper and lower frontal edentulous areas for distraction osteogenesis

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Please use this identifier to cite or link to this item:http://hdl.handle.net/2115/49191

Title: Postoperative pressure-induced alopecia after segmental osteotomy at the upper and lower frontal edentulous areas for distraction osteogenesis
Authors: Matsushita, Kazuhiro Browse this author
Inoue, Nobuo Browse this author
Ooi, Kazuhiro Browse this author
Totsuka, Yasunori Browse this author
Keywords: Alopecia
Orthognathic surgery
Distraction osteogenesis
Segmental osteotomy
Issue Date: Sep-2011
Journal Title: Oral and Maxillofacial Surgery
Volume: 15
Issue: 3
Start Page: 161
End Page: 163
Publisher DOI: 10.1007/s10006-010-0231-z
Abstract: Introduction: Postoperative alopecia is a relatively rare event, and therefore both patients and surgeons are puzzled once it develops even though it is said to improve spontaneously with time in most cases. We report a parieto-occipital pressure-induced alopecia firstly developed in a patient who had undergone repeated surgery for 10 years after a traffic accident. Case report: A 29-year-old male underwent segmental osteotomy at the upper and lower frontal edentulous areas for distraction osteogenesis. Throughout the operation, he was in the supine position with the hair covered with a paper cap and the head on a plastic vinyl chloride-covered soft foam horseshoe-shaped urethane sponge placed on the horseshoe-shaped headrest. About 2 weeks after the surgery, two patches of parieto-occipital alopecia were observed at the barber’s. It cured gradually during the follow-up visits. Conclusion: The pathophysiology of the condition is thought to be mostly pressure-induced ischemia of hair follicles, and then we have to try not to make the situation. Scalp massages and the head repositioning during the surgery should be one of the means of prevention.
Rights: The original publication is available at www.springerlink.com
Type: article (author version)
URI: http://hdl.handle.net/2115/49191
Appears in Collections:雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 松下 和裕

 

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