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Annales de Dermatologie et de Vénéréologie
Volume 141, n° 12
pages 769-772 (décembre 2014)
Doi : 10.1016/j.annder.2014.06.012
Received : 3 February 2014 ;  accepted : 19 June 2014
Reconstruction avec prothèse d’expansion d’une alopécie secondaire à une brûlure du cuir chevelu par Taser®
Alopecia reconstruction by expansion after a scalp burn injury caused by Taser®: A case report
 

H. Abada , A. Aktouf, F. Delaunay, L. Lievain, I. Auquit-Auckbur
 Service de chirurgie plastique, reconstructrice et esthétique – SOS mains, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France 

Auteur correspondant.
Résumé
Introduction

Les alopécies cicatricielles secondaires aux brûlures sont parfois difficiles à traiter et font appel à différentes techniques de chirurgie plastique, dont l’expansion du cuir chevelu.

Observation

Nous rapportons le cas d’un patient de 19ans victime d’une agression au pistolet à impulsion électrique ou Taser®, responsable d’une brûlure du cuir chevelu avec alopécie cicatricielle. Devant l’étendue de l’alopécie et sa localisation, nous avons choisi la technique d’expansion du cuir chevelu par prothèse. Le résultat cosmétique était satisfaisant.

Discussion

Plusieurs techniques de reconstruction du cuir chevelu pour alopécie cicatricielle sont décrites. Les plus utilisées sont l’expansion, les lambeaux de cuir chevelu, les exérèses itératives et les implants folliculaires.

Conclusion

Cette observation suggère que l’expansion du cuir chevelu est une technique efficace dans la reconstruction des alopécies cicatricielles faisant suite à une brûlure par Taser®.

The full text of this article is available in PDF format.
Summary
Background

Scarring alopecia resulting from burns may be difficult to treat and involves various plastic surgery techniques such as expanded scalp flaps.

Observation

Herein, we report the case of a 19-year-old male patient who suffered burning of the scalp with scarring alopecia following an attack with a Taser® electrical gun. Given the extent and site of alopecia, we decided to create a prosthesis by means of scalp expansion. The cosmetic result was satisfactory.

Discussion

Several scalp reconstruction techniques have been described for scarring alopecia, with the most widely used being expansion, scalp flaps, repeated excision and hair implants.

Conclusion

The present case suggests that scalp expansion offers an effective method for the reconstruction of scarring alopecia following burns with a Taser® device.

The full text of this article is available in PDF format.

Mots clés : Alopécie, Brûlure électrique, Expansion, Cuir chevelu, Taser®

Keywords : Alopecia, Electrical burn, Expansion, Scalp, Taser®




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