SCALP EXPANSION FOR RECONSTRUCTION OF POSTBURN ALOPECIA IN CHILDREN: TWO CASE REPORTS | BIONATURE

Adults tend to lose hair as they get older, but hair loss in children can be concerning, particularly if they exhibit psychological issues as a result of bald spots or thin hair. Burns to the head, on the other hand, are still very common in infants, and are mostly caused by scalds with boiling liquids during home incidents. Post-burn alopecia is a serious consequence of this. Hair grafting, serial excision and local scalp flaps, and scalp expansion are some of the reconstruction methods mentioned in the literature; the first two methods involve a small burn area and good scar quality.However, we have found that scalp burn in children results in a wide surface of poor-quality alopecia scarring, making tissue expansion the most successful treatment option in this case. We present two cases of burn alopecia reconstruction in 8-year-old children using an extended scalp flap. We go through the scar features, the two-stage scalp expansion process, and the post-operative period follow-up, as well as the outcomes. Finally, these two cases show how successful tissue expansion can be in this region, with good cosmetic results and a positive psychological and social impact.

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