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From: Bryan
Date: 6/14/2002
Time: 6:03:53 PM
Remote Name: 209.144.229.47
JTR recently brought this citation to our attention, as an example of something that the mysterious and reclusive Dr. Gho has actually published:
Dermatol Surg 2001 Oct;27(10):913
"Hair transplantation of plucked hair biopsies", Gho CG, Neumann HA.
I picked this up today, and found that it's just a letter to the editor. Here's the whole thing, including the references at the end:
Departments/Letters To The Editor
Hair Transplantation of Plucked Hair Biopsies
To the Editor: In conventional hair transplantation, grafts are obtained by cutting out hair follicles from the occipital side of the scalp. A major disadvantage is the loss of donor area. Moll et al. revealed that a considerable portion of the epithelial structures from the hair follicle is attached to the plucked hair and that different parts of the plucked hair have different proliferative and differentiative characteristics (1,2). A hair can easily be plucked out of the follicle. When it is easy to use plucked anagen hair as hair transplantation grafts, we can preserve the donor area, because the empty hair follicles give rise to new hairs. We studied the possibility to use fresh plucked anagen hairs as hair transplantation grafts.
In healthy male subjects between 24 and 41 years old (mean 32 years) with androgenetic alopecia classified on the Hamilton as III-IV, the occipital area of the scalp was anesthetized with a topical eutectic cream of lidocaine 25 mg/ml (EMLA; Astra Pharmaceutica, Zoetermeer, The Netherlands), Hairs were plucked with depilation tweezers from the occipital area of the scalp and 200 anagen hairs were selected under a dissection microscope and put in a sterile petri dish with Ringers-lactate solution.
The recipient areas (left and right geheimratsecke) of each patient were anesthetized with lidocaine 1% and adrenaline 1:100. Approximately 200 slits were made in these recipient areas with NoKor needles. Then the hairs were implanted and the recipient areas treated with an antibiotic fucidine cream. Directly after treatment, there were signs of erythema and each pore was covered with a little blood clot. After the procedure, an intramuscular bolus injection of 1 ml Celestone and erythromycin per os for 7 consecutive days was given as usual in hair transplantation. The operational sides of the geheimratsecken were examined the first 7 days and later on a 2-week interval for a period up to 4 months.
After 2 months, the implanted hairs in the recipient areas had fallen out and 4 months after the treatment, none of the implanted plucked anagen hairs resulted in hair growth.
From this study, we can conclude that it is not possible to use fresh plucked anagen hairs as hair transplantation grafts and that the connective tissue surrounding the epithelial structures are necessary for successful hair transplantation. The importance of this interaction between epithelial and dermal structures was also suggested by Jahoda et al (3).
Coen G. Gho, MD
H.A. Martino Neumann, MD, PhD
Maastricht, The Netherlands
REFERENCES
1. Moll I. Proliferative potential of different keratinocytes of plucked human hair follicles. J Invest Dermatol 1995;105:14-21.
2. Moll I. Differential epithelial outgrowth of plucked and microdissected human hair follicles in explant culture. Arch Dermatol Res 1996;288:604-10.
3. Jahoda CA, Reynolds AJ. Dermal-epidermal interactions -- follicle-derived cell populations in the study of hair growth mechanisms [Review]. J Invest Dermatol 1993;101:33S-8S.
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