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A Z Tsilosani

Publications and source records attributed to A Z Tsilosani.

2 recordsLinked to original sources

[Singular graft's survival].

Follicular unit extraction is a minimally invasive approach to hair transplantation that renders need of linear donor incision. Based on our many years' experience of using FU extraction method it seems that FOX grafts growing is worse compare to the common grafts created with dissection of the donor strip. We cannot find data's about survival of FOX grafts and therefore we attempted this single case bilaterally controlled study. Young patient with small (3 x 4 cm) postburn scar in fronto-parietal region was selected for the study. From donor area (midocciput) there were harvested grafts using both techniques: donor strip excision with subsequent stereo-microscopical dissection (107 FU-totally 176 follicles) and FU extraction using 0,95 mm punch (50 FU - totally 90 follicles). 107 recipient sites were created in the left and central area of the scar with N18 gauge Nokor needle and 107 common grafts were placed using jewelers forceps. 50 recipient sites were created in the right part of the scar and 50 FOX grafts were grafted. 5 month later the follicular survival was determined by counting terminal hair growth in these recipient sites. 94% follicular survival was obtained in the sites on the left and central side of the scar (common grafts) and 109% percent in the sites of the right side (FOX grafts). This study demonstrated that survival of the FOX grafts is equivalent to the survival of the common grafts created with dissection of the donor strip.

Alopecia↗

[Container method in hair transplant megasessions].

Presently, it is imperative to obtain a maximum survival rate of follicular units during large-scale transplantation, as the result of hair transplantation depends not only on the quantity of implanted grafts but on the number of survival rate of follicular units in-vitro in continuous moisture during the extended process of hair transplantation. To provide this, prepared grafts are kept in a cold saline solution. The only technological stage of hair transplantation during which grafts exist without a preserving solution is the immediate process of implantation. At this time, grafts placed on the surgeon's gloves are subjected to the harmful drying influences. For exclusion of grafts dehydratation during implantation, minimization crashing injury and shortening of the operation time we have recommended simple adaptation of a so-called Container Method. The goal of this work was the introduction of Container Method and estimation of it's effectiveness in large hair transplantation sessions. Container Method allows reducing grafts dehydratation, iatrogenic injury and warming during implantation. According to clinical observations using above mentioned method gives reduction of operation time by 41%. That fact that containers are very simple adaptations and don't require staff's special training gives a good opportunity to use them widely in the future in hair transplant megassesions.

Alopecia↗