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Post burn scaring and reconstruction of the scalp is common condition, which is challenging to plastic surgeons. Which might lead to social deprivation and severe psychological trauma, and patients always try to hide these areas with scarf, hats, wigs, etc.... Although these attempts are common and useful for the vertex and occipital region, temporo-parietal, temporal, and sideburn are difficult to be camouflaged. Different ways of reconstruction were used including: Serial scar excision, follicular hair transplant, tissue expansion, regional or remote tissue transfer with local or free flaps have been described. Although tissue expansion is the best and most popular method for scalp reconstruction, the results might be unexpected and displeasing. Searching on English speaking literature, in all previous studies, success was attributed to the expansion process in relation to the size, location of the alopecia and donor area ignoring the importance of achieving the exact or near normal pattern of hair line and symmetry of the temporal, temporo-partial and side burn regions. This is due to the absence of a simple method to guide surgeons while planning and reconstructing this critical zone. In this study, I am presenting a simple method utilizing the tissue expansion for reconstruction of sideburn, temporal, and temporo-partial alopecia to achieve satisfactory, symmetry and near normal reconstruction. This is a retrospective analysis of prospectively maintained records of 29 patients, was conducted from February 2016 to May 2018 in the Department of Plastic Surgery, Ain Shams University, Cairo, Egypt. Twenty nine patients with scalp burn alopecia of age 6 to 35 years were included in this study. All patients were examined and assessment was done by objective and subjective analysis. The results shows that by using this simple method to reconstruct temporal and lateral side burn area, it is proven from the objective and subjective evaluation the aesthetic outcome was satisfactory, symmetrical and standardized.

Simple Method for Aesthetic Symmetrical Post Burn Reconstruction of the Temporal and Sideburn Subunits