Hairy intraoral flap – an unusual indication for laser epilation: a series of 5 cases and review of the literature

Shim, Tang Ngee; Abdullah, A.; Lanigan, Sean W.; Avery, C.M.E.

doi:10.1016/j.bjoms.2010.11.021

Cited by 30 publications

(35 citation statements)

References 9 publications

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“…Only few cases of laser treatment of hairy intraoral flaps have been reported so far. Conroy and Mahaffey [8] presented a patient suffering from intraoral hair-bearing skin after reconstruction using a pectoralis myocutaneous flap, and Shim et al [9] reported five cases with hairy intraoral flaps using radial forearm free flaps or fibula free flaps. In all these patients, laser therapy using a long-pulsed alexandrite laser was performed, reaching a significant improvement in 4/6 cases and a partial response in 1 patient.…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative radiotherapy can reach a complete hair loss in hairy flaps, but severe side effects such as mucositis and fibrosis do not justify this method [3]. In a few recent case reports, successful therapy of intraoral hair growth using long-pulsed alexandrite laser has been demonstrated, and two male patients benefited from Nd:YAG laser treatment [5,7,8,9]. In order to evaluate the efficacy of laser treatment in a larger cohort, we initiated an interdisciplinary prospective clinical study using the Nd:YAG laser in 9 patients suffering from hair growth in the oral cavity after plastic reconstruction using a hairy donor site.…”

Section: Introductionmentioning

confidence: 99%

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Successful Nd:YAG Laser Therapy for Hair Removal in the Oral Cavity after Plastic Reconstruction Using Hairy Donor Sites

Kaune

Haas²,

Jantke³

et al. 2013

Dermatology

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Background: Concepts of reconstruction of intraoral structures may often include the transfer of flaps composed of external skin with hairs. Given that intraoral hair growth following myocutaneous flaps can cause discomfort, there is a need for effective treatments to relieve cancer patients of these symptoms. Objective: To describe the successful epilation of hairy intraoral flaps using Nd:YAG laser emitting a wavelength of 1,064 nm. Methods: We performed an interdisciplinary prospective clinical study with 9 patients suffering from intraoral hair growth after plastic reconstruction of a hairy donor site due to cancer. Eight male and one female patients were treated with 1-4 sessions of Nd:YAG laser at 5-15-week intervals. Results: Laser treatment resulted in effective hair reduction in 8/9 patients regardless of flap type. In 5/9 patients a hair clearance of >90% could be achieved, whereas laser treatment was ineffective in one male with white hair. Patients were very satisfied with the outcome and no side effects could be observed. Conclusion: Nd:YAG laser therapy appears to be a successful therapeutic option for patients suffering from growth of dark hair in the oral cavity after plastic reconstruction using a hairy donor site.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Successful Nd:YAG Laser Therapy for Hair Removal in the Oral Cavity after Plastic Reconstruction Using Hairy Donor Sites

Kaune

Haas²,

Jantke³

et al. 2013

Dermatology

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“…3,6 The Alexandrite laser has offered good results. 4 Until now, the laser application for hairy flap is limited mainly in the oral cavity due to accessibility.…”

Section: Volume 1 Number 1 December 2012mentioning

confidence: 99%

“…1 There are several reports that laser hair removal following reconstructive surgery in oral cavity, pharynx, and esophagus. [2][3][4][5][6] However, there is no report for the use of laser treatment for postoperative unwanted hair of the larynx in our best knowledge. We report a case of significant laryngeal hair growth which was managed with diode laser.…”

Section: Introductionmentioning

confidence: 99%

Laser Epilation for Unwanted Hair in the Larynx

2012

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Variable skin flaps are used in reconstruction of defects following surgical resection of larynx cancers. Skin taken from distant sites often contains hair-bearing skin, which can create a problem following reconstruction. In particular, patients with hairy laryngeal flaps often complain of irritation, voice change, and trapping of food. We report on the removal of hair from skin flap of the larynx using a diode laser.

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“…Intraoral paratrichosis can evolve into malnutrition and produce a decrease in quality of the life [5]. Wound hygiene maintenance also becomes difficult and is not desirable for early detection of a potential tumor relapse [6]. Intraoral ectopic hair transfer by myocutaneous flaps in male patients has been reported after pedicle pectoralis major and platysma myocutaneous flaps as well as radial forearm, rectus abdominis and fibula free flaps [7,8].…”

Section: Introductionmentioning

confidence: 99%

A Protocol for Management of the Hairs Problem in Oral Cavity Reconstruction by Submental Flap

Rahpeyma

Khajehahmadi

2016

J. Maxillofac. Oral Surg.

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Background Submental flap is a useful aid in maxillofacial reconstruction. For intraoral usage the hairs in male patients will create some problems. Materials and Methods In a retrospective study, patients in whom submental flap had been used for reconstruction of orofacial region between 2007 and 2013, in the Mashhad University, Ghaem Hospital, were included. The ways in which the problem of hairs was solved in male patients were evaluated. Results There were 42 patients in whom submental flap was used for orofacial reconstruction. Sixty percent were males. Three ways had been used for management of intraoral hairs: radiotherapy (9 patients), second surgery (2 patients) and flap de-epithelialization (13 patients). Conclusion Deepithelialized variant of submental flap is the best option when submental flap is used for oral cavity reconstruction in male patients. Flap thickness, age, race and postoperative radiotherapy can have strong influence on this strategy.

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Hairy intraoral flap – an unusual indication for laser epilation: a series of 5 cases and review of the literature

Cited by 30 publications

References 9 publications

Successful Nd:YAG Laser Therapy for Hair Removal in the Oral Cavity after Plastic Reconstruction Using Hairy Donor Sites

Successful Nd:YAG Laser Therapy for Hair Removal in the Oral Cavity after Plastic Reconstruction Using Hairy Donor Sites

Laser Epilation for Unwanted Hair in the Larynx

A Protocol for Management of the Hairs Problem in Oral Cavity Reconstruction by Submental Flap

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