A Hairy Situation: Laser Hair Removal after Oral Reconstruction

Shields, Bridget E.; Moye, Molly S.; Bayon, Rodrigo; Sperry, Steven M.; Wanat, Karolyn A.

doi:10.1177/0003489417750930

Cited by 13 publications

(6 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To overcome the problem of hair growth on flaps harvested from hair growing areas of the body, various options such as second surgery, radiation, de-epithelialization and laser epilation have been described in the past [15,16]. In a study by Rahpeyma et al [17] three ways had been used for management of intraoral hairs: radiotherapy, second surgery and flap de-epithelialization.…”

Section: Discussionmentioning

confidence: 99%

Modified submental platysmal adipomyofascial flap: is it a reliable alternate reconstructive option for small- to mid-sized defects especially in male patients with oral/oropharyngeal cancer?

Singh¹,

Chopra²,

Chaudhary³

et al. 2020

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Purpose To introduce modified submental platysmal adipomyofascial flap as a new and viable hairless locoregional option for reconstruction of small-to mid-sized defects after ablative surgery in oral/oropharyngeal cancer patients keeping in mind the present pandemic situation. Methods An observational retrospective study was conducted using modified submental platysmal adipomyofascial flap as a locoregional reconstructive option for both intraoral and oropharyngeal defects in early-stage oral/oropharyngeal cancer patients, from Jan 2016 to May 2020 in a tertiary care hospital. All patients in this study were male and the overall flap outcome was evaluated with post-operative follow-up. Results Out of 18 patients, in 4 patients modified submental platysmal adipomyofascial flap was used as a combination of flaps for reconstruction. Six patients (33.33%) underwent adjuvant radiation therapy/radiation chemotherapy. The long-term functions (speech and swallowing) and cosmetic outcomes were good in the majority of the patients. One patient (5.55%) had pinhole oroantral fistula. No patient had any major flap failure. Conclusion Modified submental platysmal adipomyofascial flap can be considered as a good alternative in male patients for reconstruction of small-to mid-sized oral cavity/oropharyngeal defects post-resection, especially during the prevailing pandemic crisis. It is an oncologically safe procedure with the major advantage of providing a hairless flap for oral cavity, tonsillar and BOT resection defects with lesser donor site morbidity.

show abstract

Section: Discussionmentioning

confidence: 99%

Modified submental platysmal adipomyofascial flap: is it a reliable alternate reconstructive option for small- to mid-sized defects especially in male patients with oral/oropharyngeal cancer?

Singh¹,

Chopra²,

Chaudhary³

et al. 2020

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…Today, conditions such hypertrichosis can be treated by photoepilation by laser and other light‐based technology ‐ a variety of systems and protocols are described in the literature ‐ between 2010 and 2020 ‐ for the use of high intensity laser therapy on intraoral grafts (Table 1). 1–8 …”

Section: Discussionmentioning

confidence: 99%

“…Despite the fact that Nd:YAG laser treatment is considered very effective for intraoral hair removal and stands for the most used system for this purpose, 1,2,3,7,8 both cases presented in this study were treated using the Diode (980 nm) laser. The diode laser hair removal system involves a beam of high intensity light and heat that has the ability to selectively target the chromophore melanin contained in the hair follicles ‐ the pigment absorbs the energy and is destroyed, thus inhibiting hair growth process of the affected follicles.…”

Section: Discussionmentioning

confidence: 99%

Successful hair removal on intraoral grafts using the diode laser: Report of two cases

Rodrigues

Nunes

Amaral

et al. 2020

Special Care in Dentistry

View full text Add to dashboard Cite

Aim: The aim of this study was to describe the successful epilation of intraoral grafts using the diode laser system.Methods and Results: Two male patients at a 12‐month follow‐up – who underwent radical resection of oral cancer located in the mouth floor and tongue followed by reconstruction with cutaneous flap – showed hypertrichosis in the graft region, leading to dysphagia and dysphonia. The diode (980 nm) laser was performed for both cases in order to remove the ectopic hair. Excellent aesthetic and functional outcomes with total hair removal and alteration of the tissue surface were achieved.Conclusions: There is no currently standard protocol for the laser epilation use on hairy grafts because each graft required a different number of sessions for total epilation. The diode laser system appears to be a successful therapeutic option for patients suffering from hypertrichrosis in the oral cavity.

show abstract

“…Skin grafts may be cosmetically displeasing, functionally limiting, and may cause significant impact on a patient's quality‐of‐life. Laser hair removal is a well‐accepted and effective method of achieving a permanent decrease in hair density (Kaune et al, ; Shields, Moye, Bayon, Sperry, & Wanat, ). Several lasers have been used successfully, including the long‐pulse Alexandrite (755 nm), the long‐pulse diode (810 nm), the intense pulse light laser and the Nd:YAG laser (1,064 nm).…”

Section: Casementioning

confidence: 99%

Laser therapy for hair removal on grafts and flaps

García‐Zamora

Naz-Villalba

Franco

et al. 2019

Dermatologic Therapy

View full text Add to dashboard Cite

The diversity and utility of laser procedures have increased over the recent years and nowadays, applications for medical and cosmetic reasons have increased considerably. Problematic intraoral and cutaneous hirsutisms have been described as a consequence of complex reconstruction usually after oncology surgery. We present three patients in whom hair removal laser was performed on grafts and flaps in different compromised anatomical areas: oral cavity, penis, and auricular pavilion. All three patients were men; in two of them the hairy graft was a consequence after oncologic surgery reconstruction whereas the third patient presented hair in his auricular pavilion after cochlear implant due to a congenital ear malformation. In all the patients, neodymium:yttrium, aluminum, garnet laser (Nd:YAG) (1,064 nm) laser was performed with excellent aesthetic and functional outcomes with only three sessions. Hair removal laser is a well‐accepted and effective method of achieving permanent decrease in hair density. Several lasers have been used successfully, including the long‐pulse Alexandrite (755 nm), the long‐pulse diode (810 nm), and the Nd:YAG laser (1,064 nm). There is currently no standard protocol for laser use on hairy grafts or flaps and there is limited published data regarding skin graft revision to enhance aesthetics and function.

show abstract

A Hairy Situation: Laser Hair Removal after Oral Reconstruction

Abstract: The long-pulsed Alexandrite and Nd:YAG represent safe and effective treatment options to improve patient quality of life following intraoral flap repair following excision of malignancy.

Cited by 13 publications

References 7 publications

Modified submental platysmal adipomyofascial flap: is it a reliable alternate reconstructive option for small- to mid-sized defects especially in male patients with oral/oropharyngeal cancer?

Modified submental platysmal adipomyofascial flap: is it a reliable alternate reconstructive option for small- to mid-sized defects especially in male patients with oral/oropharyngeal cancer?

Successful hair removal on intraoral grafts using the diode laser: Report of two cases

Laser therapy for hair removal on grafts and flaps

Contact Info

Product

Resources

About