目的 探讨在头皮扩张皮瓣的扩张期进行激光脱毛的安全性及疗效。方法 2014年1月到2015年4月,选择22例应用头皮扩张穿支皮瓣修复面部软组织缺损的患者,在注水扩张期使用半导体激光进行脱毛治疗。结果 22例患者均完成了扩张器置入-注水扩张-激光脱毛-转移修复的序贯疗程。转移修复术后皮瓣均存活,19例皮瓣表面无明显粗长毛发,2例皮瓣仍有少量毛发残留,1例发际边缘小面积秃发。1例患者在激光治疗后出现水疱,1周后自愈,未观察到长期并发症。结论 激光脱毛技术可安全有效地应用于头皮扩张穿支皮瓣的制备过程,改善皮瓣修复术后患者面部外观,提高手术满意率。

Objective To study the safety and efficacy of laser hair removal during expansion of the expanded perforator scalp flap. Methods From January 2014 to April 2015, 22 patients received expanded scalp flap preparation for reconstruction of facial soft tissue deformation were included. Diode laser therapy was used to remove hair during tissue expansion period. Results All patients completed the multiple-stage treatment:expander implantation-saline injection-laser hair removal-flap translocation. All flaps were survived after flap translocation. No thick hair was observed in 19 patients, small area of hair remaining was observed in 2 patients, and psilosis at hair edge was observed in 1 patient. Transient blister was observed in one patient after laser hair removal, which subsided without treatment. No long-term adverse events were observed. Conclusion Laser hair removal technique can be safely and effectively used for the preparation of expanded scalp flap. Improvements of facial appearance and satisfaction can be achieved.