Oral Nitroglycerin and Hair Transplant Surgery

    Muhammad Humayun Mohmand, Muhammad Ahmad
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    TLDR Nitroglycerin can stop scalp necrosis during hair transplant surgery.
    In 2020, researchers Muhammad Humayun Mohmand and Muhammad Ahmad reported a case where nitroglycerin was used to prevent the advancement of early scalp necrosis during hair restoration surgery. The surgery, performed under local anesthesia, typically uses epinephrine to reduce blood loss. However, there have been instances of scalp necrosis related to the use of local anesthetics with epinephrine, particularly in smokers. In this case, the researchers successfully used sublingual nitroglycerin to halt the progression of necrosis.
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