• Title/Summary/Keyword: scalp

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Scarred scalp reconstruction with a rectangular expander

  • Shin, Hyojeong;Shin, Jeonghwan;Lee, Jun Yong
    • Archives of Craniofacial Surgery
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    • v.21 no.3
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    • pp.184-187
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    • 2020
  • Scalp reconstruction is challenging because the scalp is inelastic, stiff, and has hair follicles. Tissue expansion offers aesthetically pleasing outcomes with minimal donor-site morbidity. However, in a scarred scalp, the extent of possible dissection for the expander insertion may be limited and surgeons must make use of the limited scalp tissue. We successfully reconstructed scarred scalps using rectangular expanders. This report presents two cases: a 4×3 cm chronic defect with widespread scarring and osteomyelitis and an 11×7.5 cm scar tissue following a skin graft. Tissue expanders were inserted in the subgaleal plane and were inflated by 195 mL and 400 mL over periods of 2 and 3 months, respectively. Subgaleal elevation of a fasciocutaneous flap was achieved with the expanded tissue. The defects were well covered, with good color, texture, and hair-bearing tissue. There were no complications involving the tissue expanders. Rectangular expanders yield more available tissue than round or crescent-shaped expanders. Moreover, since the base of the flap is well defined, the expander can be easily inserted in a limited space. Therefore, rectangular expanders are recommended for the reconstruction of scarred scalps.

Malignant Peripheral Nerve Sheath Tumor of Scalp (두피에 발생한 악성말초신경초종양)

  • Lee, Ki Young;Bae, Joon Sung;Jun, Young Joon;Lee, Hee Jeong;Kim, Young Jin
    • Archives of Plastic Surgery
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    • v.34 no.4
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    • pp.495-497
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    • 2007
  • Purpose: Malignant peripheral nerve sheath tumors (MPNSTs) are rare neoplasms, usually arising from somatic soft tissues or peripheral nerves. Primary MPNST of the scalp is extremely rare. The case is being reported for its rarity. Methods: A 53-year-old female was presented with a scalp mass on vertex area. The tumor was localized in scalp skin and did not invade underlying periosteum or skull and treated with complete surgical excision followed by adjuvant chemotherapy and radiotherapy. Results: Histologically, the tumor showed malignant spindle cells with focal S-100 positivity on immunohistochemistry and a diagnosis of MPNST was made. Conclusion: Authors experienced a rare case of primary scalp MPNST and report the case.

A Case Report of a Patient with Lateropulsion in Lateral Medullary Infarction Improved by Korean Medicine Treatment Including Scalp Acupuncture (가쪽쏠림보행을 동반한 외측 연수경색 환자의 두침요법을 병행한 한의치료: 증례보고)

  • Hyun, Jae-Cheol;Jeong, Su-Hyeon
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.4
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    • pp.193-201
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    • 2021
  • The aim of this study was to report the effect of Korean medicine treatment with scalp acupuncture of patient with lateropulsion, dizziness, headache caused by lateral medullary infarction. We treated the patient with scalp acupuncture, acupuncture, herbal medicine. Numeric rating scale (NRS), Korean version of berg balance scale (K-BBS), gait balance evaluation, dizziness handicap inventory (DHI), activities-specific balance confidence scale (ABC) and vestibular disorders activities of daily living scale (VADL) were used to evaluate symptoms. NRS of Lateropulsion, dizziness, headache were decreased. K-BBS score increased from 4 to 56, and in the gait balance evaluation, it returned to normal. DHI, VADL score were decreased and ABC score increased from 0 to 1,300. This case report shows that Korean medicine treatment with scalp acupuncture can be effective in lateral medullary infarction. However, further controlled studies are needed to confirm the effect of scalp acupuncture on such patients.

A survey of the status of hair loss product use, hair loss treatment and satisfaction level (탈모(脫毛) 고객(顧客)의 제품이용실태와(製品使用實態) 관리(管理) 및 만족도(滿足度) 조사(調査))

  • Lee, Ji-Suk;Kim, Sung-Nam
    • Journal of Fashion Business
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    • v.11 no.2
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    • pp.76-91
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    • 2007
  • The domestic market for scalp care and hair loss management reached 1 trillion won. The market for hair loss management is expected to expand further. Systematic scalp and hair care services, such as scalp scaling, scalp massage, equipment maintenance, scalp care products sale, and care program based on scalp and trichology are provided. This study examined the status of hair loss management and use of hair care products by people experiencing hair loss and the level of their satisfaction. In addition, this study presents basic data for the effective hair loss management and marketing strategies for scalp and hair loss clinics. The results are as follows. 41.2% of the study subjects were in their 20s, and 66.6% of the study subjects were women. As for the hair loss symptoms, 45.2%, the largest percentage, had thin and wispy hair and more women had thin hair than men. 80.0% of men had oily hair. As for the scalp condition, 39,3% had oily scalp. As more women experience hair loss, 39.6% had female pattern hair loss and 31.0% had male pattern hair loss. As the largest percentage of people experiencing hair loss was in their 20s, 33.4%, the largest percentage, had the onset of hair loss in their early 20s. 34.1%, the largest percentage, reported having used the clinic for less than 1 month. The older the subject, the longer the length of hair clinic use. As for the average number of monthly hair loss clinic visits, 28.2%, the largest percentage, said 3 times. As for the hair loss management product use, 61.9%, said they do not use it and 38.1% said they use it. 5.6%, the largest percentage, used Davines at home and 9.6%, the largest percentage, used Kerastase at the clinic. As for the experience of hair loss product previously, 84.5% said they had no experience and 15.5% said they had eThe following are related to the satisfaction level of hair loss management. xperience. 5.0%, the largest percentage, reported having used Daenggimeori. The following are related to the satisfaction level of hair loss management. 32.8%, the largest percentage, said the effect of hair loss management lasted less than 6 monthas. As for the satisfaction levels on hair loss management program, service, skill of the hair specialist, hygiene, and hair loss management products, most people indicated between average and somewhat satisfactory levels. As for the satisfaction level on the cost of hair loss management, most people indicated average satisfaction level. As for the element essential to hair loss management, 39.0%, the largest percentage, indicated development of effective and specialized programs, 28.2%, indicated low price, 25.1%, indicated systematic and professional education of the hair specialist, 4.6%, indicated marketing and promotion, 2.5%, indicated service quality, and 0.6% indicated others.

Low-temperature Rendering Technology Applied to Extract Black Beans, Peony and Green Tea for Scalp Repair (저온용출법을 이용한 검은콩, 작약, 녹차 추출물의 두피 개선 효과)

  • Min, Dae-Jin;Park, Nok-Hyun;Hwang, Jung-Sun;Moon, Sung-Ho;Lee, Ki-Hyun;Lee, John-Hwan;Ahn, Soo-Mi;Kim, Han-Kon
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.35 no.1
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    • pp.41-46
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    • 2009
  • Problems with scalp lead to hair loss, dandruff, itchiness, and other illness. No clear causes of these problems have been found and it is difficult to treat them. Therefore, the best way to prevent and treat any problems with scalp is to maintain physiological homeostasis of scalp to keep it healthy. Recently, many scalp and hair product brands have attempted to use medicinal herbs which have been extracted in hot water and mixed with other ingredients due to mass-production and standardization issues. However, many nutrients and active substances are destroyed by hot-water extraction. Therefore, this study has applied low-temperature rendering to minimize destruction of substances to extract black beans, peony, and green tea that are known to improve conditions of scalp. Then, their contribution to the improvement of scalp health was assessed. In result, it was found that low-temperature rendering retains over two times greater anti-oxidizing strengths than hot-water extraction and that the extracts from low-temperature rendering effectively strengthen follicles and hair, moisturize scalp, and prevent itchiness. Therefore, low-temperature rendered black beans, peony, and green tea extracts can be used to make effective scalp treatments.

A study of convergence management types based on self-perception of scalp and hair among college students majoring in cosmetology (미용전공 대학생들의 두피·모발에 대한 자가인식에 기반한 융합적 관리형태 연구)

  • Kang, Su-Youn;Lee, Kyoung-A
    • Journal of the Korea Convergence Society
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    • v.8 no.2
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    • pp.235-241
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    • 2017
  • This study aimed to help the college students majoring in beauty to have interests and manage the functional areas of scalp and hair by accurately identifying the condition of scalp and hair and realizing the convergence management habit and subjective symptoms for the condition. The study conducted a survey on 160 beauty major college universities in their 20s living in the Jeonnam area by asking the subjects to directly write the answers. The study found that many subjects had combination type of scalps and hair problems of split ends and thin hair, and recognized that their hair was damaged. They answered that frequent dyeing and perm caused the damage and they were using the shampoo for damaged hair to prevent hair damage. Regarding the observable symptoms on scalp and hair, it was identified that self-perception was higher as the interest in scalp was high, which influenced age and sleeping time.

TISSUE HEALING RESPONSE OF INCISED WOUND SUTURED BY STAPLES AND VARIOUS SUTURE MATERIALS (Staple과 수종의 봉합물의 봉합부위 창상치유 조직반응)

  • Suh, Min-Jung;Lee, Jae-Hun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.3
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    • pp.500-514
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    • 1996
  • The purpose of this study was to observe the tissue response in applying staples and various suture materials to both scalp and buccal mucosa in rabbits. 18 rabbits were divided into 6 groups. The incised wounds of both scalp and buccal mucosa were sutured with staples, polyglactin 910, chromic catgut, mer silk and nylon. The experimental animals were sacrificed after 1, 3, 5, 7, 10, 14 days posto peratively 3 animals at one time. The tissue was stained with Hematoxylin and eosin, and Masson's Trichrom. In light microscopic examinations, the sutured sites were examined histologi cally according to 6 degrees about inflammation and collagen deposit. The results were obtained as follows, 1. The chromic catgut, an absorbable suture material, was absorbed by 7 days, whereas polyglactin 910 and mersilk began to get absorbed after 7 days. 2. Mersilk manifested a broad range of inflammation in the scalp, and both staple and nylon showed a severe inflammatory reaction in the buccal mucosa. 3. With polyglactin 910, both tissue samples showed only minor foreign body reaction, however in the scalp, the process of fibrosis took place compara tively slowly, whereas in the buccal mucosa, it occurred promptly and manifested active fibrosis by 7 days. 4. Mersilk showed widespread a matrix formation in both scalp and buccal mucosa, and showed the most severe inflammatory reaction by 3 days, which did not seem to decrease even after 7 days. 5. Both staple and nylon showed relatively a severe inflammatory reaction, however fibrosis took place rather promptly compared to the other groups. 6. Generally, in the buccal mucosa fibrosis occurred more promptly than in the scalp in both control and experimental groups. 7. Retention of the suture material and stability of the knot were the best with the staple, and better stability was manifested by the multi-stranded poly glactin 910 and mersilk than singlestranded chromic catgut and nylon. From above results, in the buccal mucosa absorbable suture materials especially polyglactin 910 showed better response in the aspect of inflammatory reaction, while in the scalp monofilament suture materials such as staple and nylon manifested a early fibrosis and collagen formation.

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The research about Scalp treatments by self-recognition of adult's losing hair (성인 남·녀 탈모 자가인식에 의한 두피관리실태 연구)

  • Kim, Mijung;Jung, Sookhee;Shim, Sunnyu
    • Journal of the Korea Convergence Society
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    • v.3 no.3
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    • pp.21-27
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    • 2012
  • The survey was carried out with a random sample of adults living in Busan and Gyeongnam. The collected material is used by the SPSS version 12.0. The frequency, percentage, examination were applied for studying. We separated the group of safety, general management, real hair management according to characteristic about scarp and hair problems. There is highly understanding about the hair problem that if someone has really sensitive scalp or who has dandruff or who has thin hair or who has someone has hair losing problem in their family. Usually, the group has highly understanding of hair problem, they consult about their hair and scalp with expert. They have a really good attention about the mass media(TV, Internet, Newspaper, Magazine) for scalp and hair health. They reduce using hair products. They always read hair product brochure first and use it. They don't eat fast food frequently. The survey has shown high levels of article. Now the research showed us that s have a strict connection between self-recognition and scalp treatments. That means someone has understanding hair problem then start treatment first.

Treatment of Scalp Arteriovenous Malformation

  • Jung, Sung-Hoon;Yim, Man-Bin;Lee, Chang-Young;Song, Dal-Won;Kim, Il-Man;Son, Eun-Ik
    • Journal of Korean Neurosurgical Society
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    • v.38 no.4
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    • pp.269-272
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    • 2005
  • Objective : The object of this study is to present the treatment experience of the 6cases of scalp arteriovenous malformations[AVMs] focus on treatment strategy. Methods : Six patients with scalp AVM were treated during past 12years. We analysis the clinical characteristics of the lesions, treatment methods and management outcomes. Results : The lesions were located on temporal in 2patients, parietal in 2patients, frontal and occipital area in each one. Four of six patients had a trauma history on scalp. The presenting symptoms were progressive enlarged pulsating mass with or without bruit. Four of the six lesions had the large fistula in the lesion. Two patients were treated with surgical resection alone, three patients with proximal feeding artery balloon[s] occlusion followed by surgical resection, and one patient with coil embolization through trans-venous route alone. We obtained good results in all patients. Conclusion : Most of scalp AVM can be completely cured by Judicious selection and a combination of treatment modalities, i.e., surgery only, or embolization only, or embolization plus surgical therapy. Although embolization became a primary therapy for this sort of scalp AVM recently, the selection of treatment modality should be chose based on the size, angioarchitecture, and clinical presentations of the lesion.

METASTASIS OF ADENOID CYSTIC CARCINOMA OF THE MINOR SALIVARY GLAND TO THE SCALP : A CASE REPORT (소타액선 선양낭성암종의 두피 전이 : 증례 보고)

  • Cho, Sung-Min;Pyo, Sung-Woon;Park, Ji-Young;Kim, Jean-A;Lee, Kyung-Ji
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.4
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    • pp.339-342
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    • 2009
  • Adenoid cystic carcinoma(ACC) is the second most common malignant neoplasm in the salivary gland. In spite of ACC shows slowly growing nature, it is sometimes highly detrimental that it readily invades adjacent tissues and metastasize to distant organs at the early stage of disease. Hence, treatment outcome may be misfortunate due to wide regional infiltration, pathognomonic perineural spread and the tendency of hematogenous metastasis. We present a unusal case of ACC of the scalp in which the patient initially presented with bumpy mass of the scalp who had been diagnosed as the primarily developed ACC of the right hard palate that extended to infratemporal fossa, nasal cavity, and paranasal sinuses and had been treated by total excision and post-operative chemotherapy and radiation therapy for 10 years ago. Although this lesion occured at the scalp, which is a frequent site of primary dermatologic ACC, its histomorphology was the same with that of previous tumor. Complete clinical examination showed no recurrence sign at the primary site and suggested the scalp as a sole treatment failure site. Accordingly, it would be reasonable to consider the present case as either a scalp metastasis or a second primary lesion of salivary gland ACC.