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Buried hair in scalp closure : Is it a problem?
1Division of Plastic Surgery, University of California at San Diego, 306 Walnut #36, 92103, San Diego, California.
Aesthetic Plastic Surgery
|November 1, 2013
Summary
Buried hair in wounds undergoes dissolution over time. This case study details the pathological changes in hair strands found 5 months after burial in a wound before scar revision.
Area of Science:
- Dermatology
- Pathology
- Wound Healing
Background:
- Foreign bodies in wounds can impede healing.
- Hair is a common foreign material encountered in surgical wounds.
- The long-term fate of buried hair in tissue is not well-documented.
Purpose of the Study:
- To investigate the biological fate of hair embedded within a wound.
- To describe the pathological changes associated with long-term buried hair.
- To understand the dissolution process of hair keratin in vivo.
Main Methods:
- Case report of a patient undergoing scar revision.
- Pathological examination of tissue containing hair.
- Histological analysis of hair shaft and surrounding tissue.
Main Results:
- Hair strands were identified 5 months after initial burial.
- Evidence of hair shaft degradation and dissolution was observed.
- The surrounding tissue showed inflammatory and foreign body responses.
Conclusions:
- Buried hair undergoes gradual dissolution in a wound environment.
- The process involves degradation of the hair keratin structure.
- Understanding this process is relevant for wound management and scar revision.
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