Hair Regrowth After Bicoronal Incision
Study Details
Study Description
Brief Summary
Loss of hair growth potential in long surgical scalp incisions can become obvious to the patient and others, given hair's tendency to part along the resulting scar. Bevelling incisions perpendicular to the hair follicle angle may increase hair growth through the scar. However, many factors may be confounders such as wound tension and cauterizing the incision. This study will investigate the effect a bevelled incision has on hair growth preservation compared to a standard incision that incises the skin perpendicular to its surface irrespective of hair follicle angles. Following informed voluntary consent, subjects who require bi-coronal scalp incisions as part of a surgical plan will be enrolled. The right side of this bilateral incision will be randomized to receive either a bevelled or a standard incision and the left side will receive the opposite type. During routine surgical follow-up the hair growth within the scar of the two sides will be recorded for comparison and it is our hypothesis that the side with the bevelled incision will have more hair within the scar.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Straight Incision incision made perpendicular to scalp surface |
Procedure: Straight Incision
The incision will be made at a 90 degree angle to the surface of the scalp
|
Active Comparator: Bevelled Incision Incision made at 45 degrees to scalp surface |
Procedure: Bevelled Incision
The Incision will be made at a 45 degree angle to the surface of the scalp.
|
Outcome Measures
Primary Outcome Measures
- Hair Regrowth Within the Scar [12 months]
Hair growth through the scar will be counted at 6 and 12 month followup
Secondary Outcome Measures
- Scar Characteristics [1 year post surgery]
Scars will be rated based on the Vancouver Scar Scale (Sullivan, 1990)
Eligibility Criteria
Criteria
Inclusion Criteria:
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Bicoronal Incision required as part of surgical plan
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Incision within hair-bearing scalp
Exclusion Criteria:
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Previous Bicoronal Incision
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Unfit for Surgery
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Unable to provide informed consent
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Unable to comply with followup
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Preexisting alopecia of scalp
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Cutaneous malignancy of scalp
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Sunnybrook Health Sciences Centre | Toronto | Ontario | Canada | M4N3M5 |
Sponsors and Collaborators
- Sunnybrook Health Sciences Centre
Investigators
- Study Director: Mathew A Plant, MD, University of Toronto Plastic and Reconstructive Surgery
Study Documents (Full-Text)
None provided.More Information
Publications
- Camirand A, Doucet J. A comparison between parallel hairline incisions and perpendicular incisions when performing a face lift. Plast Reconstr Surg. 1997 Jan;99(1):10-5.
- Sullivan T, Smith J, Kermode J, McIver E, Courtemanche DJ. Rating the burn scar. J Burn Care Rehabil. 1990 May-Jun;11(3):256-60.
- 8080808