PubMed · 14239032
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F M RACKEMAN. 1965-02-15. BALDNESS BREAKTHROUGH.. https://pubmed.ncbi.nlm.nih.gov/14239032/
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PURPOSE: To describe a patient with pressure alopecia following vitreoretinal surgery. DESIGN: Case report. METHODS: An 11-year-old boy underwent vitreoretinal surgery for left retinal detachment. One week postoperatively, his parents noticed a patch of alopecia where his head may have been in contact with the wrist-rest assembly placed around the head during the surgical procedure. RESULTS: Pressure alopecia on the parieto-occipital region of the scalp was observed. Hair regrowth occurred during the follow-up visits. CONCLUSION: Pressure alopecia is a rare complication of lengthy surgery and is underrecognized in ophthalmic practice. Precautions should be taken to avoid this preventable complication.
BACKGROUND: Standard wound closure techniques are prone to complication in the presence of tension. OBJECTIVE: To show that deep plane fixation (DPF), a surgical modality based on limited undermining and strategic placement of DPF sutures, affects tension-reduced closure in wounds that would otherwise require skin grafts/flaps or tissue expansion. METHODS: The study is based on an analysis of over 2000 scalp operations. RESULTS: Two groupings of identical sagittal scalp reductions were done. DPF was used in one and not the other. In the series with DPF, reduced tension closure was consistently possible, as was significantly increased excision, relative to the series without DPF. CONCLUSIONS: DPF narrows the wound base and channels tension forces from superficial to deep and/or nonundermined tissues (where they harmlessly dissipate). This allows relatively increased tissue excision and tension-reduced closure.