Adhesive Depilation for Scalp Graft Hair Removal

    Amir H. Dorafshar, Marina Gitman, Michelle C. Roughton, Lawrence J. Gottlieb
    TLDR A simple, safe, and cost-effective method using adhesive drapes effectively removes hair from scalp grafts, reducing infection risk.
    The document described a method for removing hair particles from split-thickness skin grafts taken from the scalp to prevent foreign-body reactions at the recipient site. The authors developed a two-step intraoperative technique using an adhesive drape, specifically Ioban, to depilate the graft by repeatedly placing it on the adhesive surface and rinsing it in saline solution between passes. This process effectively removed hair particles, reducing the risk of inflammation and infection without adversely affecting graft survival. Histopathologic analysis confirmed the removal of hair particles and a reduction in keratin layer condensation. The method was deemed simple, safe, and cost-effective, requiring minimal additional equipment and time.
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