Scalp necrosis is uncommon in malnourished children,yet temporal catheterization is frequently observed in pediatric hospital settings.The condition is characterized by a black,hard,and unresponsive scalp.Etiologies s...Scalp necrosis is uncommon in malnourished children,yet temporal catheterization is frequently observed in pediatric hospital settings.The condition is characterized by a black,hard,and unresponsive scalp.Etiologies such as temporal arteritis,burns,and Takayasu’s disease,have been proposed.There is a decline in the use of peripheral catheter monitoring in hospitals.War-related food shortages and social instability significantly affect the trauma and risks that undermine the health,social,and psychological well-being of children.This report describes the case of a 5-month-old infant suffering from severe acute malnutrition following the abduction and subsequent release of his mother by armed individuals after one and a half weeks.The infant,who underwent temporal catheterization for medication administration,presented with extensive scalp necrosis.The necrotic tissue was surgically removed,and the malnutrition was successfully treated,resulting in a favorable clinical outcome.The mother received comprehensive mother-child care from a psychologist.展开更多
Background:Several reconstructive techniques have been used to reconstruct scalp defects.Numerous researchers have studied the utilization of bipedicled scalp advancement flaps for scalp defect coverage.In this study,...Background:Several reconstructive techniques have been used to reconstruct scalp defects.Numerous researchers have studied the utilization of bipedicled scalp advancement flaps for scalp defect coverage.In this study,we will assess the adaptability of a bipedicled scalp advancement flap for coverage of huge scalp defects after tumor resection.Methods:This study was performed at the Plastic Surgery Department,Fayoum University Hospital,on 20 patients with huge scalp tumors treated by adequate excision and reconstructed using a bipedicled scalp advancement flap from December 2021 to July 2023.Results:The study was conducted on 20 patients:16(80%)were men and 4(20%)were women presenting with large scalp tumors.The mean age was 57.4 years(33-68 years).The sites of the tumors were 10(50%)occipital,6(30%)parietal,and 4(20%)parieto-occipital.No major complications occurred postoperatively,and the bipedicled flaps survived well in all cases,with no necrosis.Conclusion:Huge scalp defects after tumor resection can be safely reconstructed with a large versatile bipedicled advancement scalp flap,either transversely or longitudinally oriented,with favorable functional results and accepted aesthetic results,apart from the alopecic area over the grafted donor site,which can be treated by tissue expansion if desired later.展开更多
The human scalp harbors a diverse range of microbiome,much like other skin surfaces,where both beneficial and harmful microorganisms coexist.This study explores the possibility of balancing key scalp microorganisms,pa...The human scalp harbors a diverse range of microbiome,much like other skin surfaces,where both beneficial and harmful microorganisms coexist.This study explores the possibility of balancing key scalp microorganisms,particularly Staphylococcus epidermidis,Staphylococcus aureus and Malassezia species.While Staphylococcus epidermidis plays a beneficial role in maintaining scalp health by producing antimicrobial proteins and supporting the skin barrier,Staphylococcus aureus is identified as a pathogen linked to skin infections and dandruff formation.Malassezia fungi degrade triglycerides in sebum into unsaturated fatty acids,exacerbating scalp conditions like dandruff.In order to promote the beneficial microbe while inhibit the harmful ones,we investigated the combination of 1.0 mM pyrrolidone carboxylate-zinc(PCA-Zn),0.2%malt oligosaccharides(MT:corn-derived oligosaccharide mainly containing maltotetraose)and 0.05 mM Hinokitiol on its microbial activity,which significantly enhanced the growth of Staphylococcus epidermidis while inhibiting both Staphylococcus aureus and Malassezia,offering insights into promising strategies for scalp care.展开更多
Giant cerebriform nevus cell nevus of the scalp is an extremely rare form of congenital melanocytic nevus. Giant cerebriform nevus of the scalp has a major psychosocial impact because of its unsightly appearance with ...Giant cerebriform nevus cell nevus of the scalp is an extremely rare form of congenital melanocytic nevus. Giant cerebriform nevus of the scalp has a major psychosocial impact because of its unsightly appearance with fetid maceration. We report the case of a 35-year-old woman who had a painless, malodorous swelling of the cerebriform scalp measuring 20 × 17 cm in diameter with a wide base of insertion at the occipital level adhering to the deep planes. The excision associated with a skin plasty was carried out. Histology concluded that there was a giant cerebriform naevo-cellular nevus of the scalp.展开更多
Objective To evaluate the efficacy and safety of scalp acupuncture in the treatment of ischemic stroke. Methods The method recommended in the Cochrane Collaboration was used for the systematic evaluation of the random...Objective To evaluate the efficacy and safety of scalp acupuncture in the treatment of ischemic stroke. Methods The method recommended in the Cochrane Collaboration was used for the systematic evaluation of the randomized controlled trials （RCTs） of scalp acupuncture in the treatment of ischemic stroke. Results One thousand three hundred and ninety-five cases from 13 papers in Chinese version were in compliance with the inclusive criteria and all of them were the low-quality trials. The results of the included 5 trials in Meta analysis indicated that the efficacy of scalp acupuncture was superior to medication in the treatment of ischemic stroke （RR=1.27, 95% CI 1.06, 1.51）. The results of 3 trials in Meta analysis suggested that the recovery in the nerve function defect of the patients with ischemic stroke treated with scalp acupuncture was apparent as compared with medication （WMD = -2.96, 95% C1-4.00, -1.92）. The results of 5 trials in Meta analysis showed that the efficacy of scalp acupuncture on ischemic stroke was potentially superior to body acupuncture （RR=I.10, 95% CI 0.93, 1.28）. Conclusion It is seen in the Meta analysis results of the included 13 RCTs that scalp acupuncture achieves the definite efficacy on ischemic stroke. Due to the limitation of the inclusive numbers and quality of the research, especially the lack of long-term indices, the conclusion reliability of this research is relatively low. Hence, it is required much more evidences for a further confirmation from the large scale and multiple central RCTs with high quality and intrinsic authenticity.展开更多
Objective To observe the effect of scalp acupuncture on the treatment of children with cerebral palsy（CP）.Methods Thirty-six children in the USA with cerebral palsy were treated with Chinese scalp acupuncture at the...Objective To observe the effect of scalp acupuncture on the treatment of children with cerebral palsy（CP）.Methods Thirty-six children in the USA with cerebral palsy were treated with Chinese scalp acupuncture at the Neuroacupuncture Institute in Santa Fe,New Mexico,USA.Foot motor and sensory area,motor area,speech I area,speech II area,balance area,vision area,apraxia area,and I vision area were selected base on patient＇s clinical manifestation.Rotating manual stimulation was performed during each session of acupuncture.The retention of needles was 30 minutes.Results These 36 patients received between 3–20 treatments,5 had complete resolution of their symptom,14 cases a marked effect,14 had some effect,and 3 patients experienced no improvement.No adverse events were reported.Conclusion Chinese scalp acupuncture in these 33 cases appears to be an effective treatment for patients with CP and should be considered as an adjunctive therapy for more CP patients.Chinese scalp acupuncture relieved many of these patients＇ symptoms,increased their quality of life,and reversed many physical disabilities.Some of the patients returned to a normal life.Those treatments have laid a foundation for research into the clinical application of Chinese scalp acupuncture in the treatment of CP.展开更多
Objective To observe the clinical therapeutic effects （BPH） treated with scalp-acupuncture and body-acupuncture. Methods on benign prostate hyperplasia Two hundred and forty patients diagnosed clinically with BPH we...Objective To observe the clinical therapeutic effects （BPH） treated with scalp-acupuncture and body-acupuncture. Methods on benign prostate hyperplasia Two hundred and forty patients diagnosed clinically with BPH were randomly divided into 3 groups. In scalp-acupuncture group （80 cases）, foot-motor-sensory area and reproductive area were selected. In body-acupuncture group （82 cases）, the acupoints were selected, such as Zhengji（中极 CV 3）, Guanyau（关元 CV 4） and Sanyfnjiao （三阴交 SP 6）. In combined therapy group of scalp acupuncture and body acupuncture （78 cases）, scalp acupuncture was applied together with body acupuncture. It was to observe the changes in prostate size, Qmax, IPSS （international prostatic symptom score） and QOL （quality of life） before and after treatment of 3 groups. Results The total effective rate was 72.5% in scalp-acupuncture group, 72.0% in bodyacupuncture group and 85.9% in combined therapy group of scalp acupuncture and body acupuncture. The therapeutic effect in combined therapy group was superior to that in either scalp-acupuncture group or body-acupuncture group （both P〈0. 05）. The improvements had been obtained in Qmax, post-void residual volume （PRV）, IPSS and QOL after treatment in 3 groups, in which, the improvement in combined therapy group was apparent. Conclusion Either scalp acupuncture or body acupuncture relieves clinical symptoms and improves the quality of life in BPH patients. But, the best therapeutic effect has been obtained specially in the treatment with combined therapy of scalp acupuncture and body acupuncture.展开更多
Objective To probe into the impacts on the expression of vascular endothelial growth factor （VEGF） in ischemic brain tissue treated with cluster puncture on scalp acupoints in rats, Methods 128 rats were randomized ...Objective To probe into the impacts on the expression of vascular endothelial growth factor （VEGF） in ischemic brain tissue treated with cluster puncture on scalp acupoints in rats, Methods 128 rats were randomized into pseudo-operation group, model group, scalp-needling group and cluster-needling group, In scalp-needling group, penetration method was used on the focal side from Bǎihuì （百会 GV20） to Qǔbīn （曲鬓 GB7）, and in cluster-needling group, penetration method was used on both sides from GV20 to GB7, and a common needling on GV 20. Needles were punctured 2 mm in depth, constantly rotated for 10min, retained for 2 h. Immunohistrochemical method was applied to determine VEGF expression and microvessel density （MVD）. Results With the intervention of cluster puncture on scalp acupoints, VEGF： expressions on every time-spot after ischemia were enhanced apparently, superior to those in scalp-needling group. On the three time-spots of the 7^th, 14^th and 21^st days, MVD was increased after cluster puncture on scale acupoints, superior to those in scalp-needling group. Conclusion Cluster puncture on scalp acupoints up-regulated VEGF expression and promoted regeneration of microvessel.展开更多
Objective To observe the clinical efficacy of scalp acupuncture in treating patients with insomnia from Uganda. Method Seventy-eight patients with insomnia were subjected to scalp acupuncture,ézhōngxiàn（...Objective To observe the clinical efficacy of scalp acupuncture in treating patients with insomnia from Uganda. Method Seventy-eight patients with insomnia were subjected to scalp acupuncture,ézhōngxiàn（额中线 MS 1）,épángxiàn Ⅰ（额旁1线 MS 2）,D？ngzhōngxiàn（顶中线 MS 5） and D？ngpángxiàn Ⅰ（顶旁1线 MS 8） were selected,the treatments were carried out once for every two days,and 10 days as a treatment course. The therapeu c effi cacy was observed a er treatments. Results Sixty-two cases were cured,markedly effective in 8 cases,effective in 7 cases and failed in1 case; the total eff ec ve rate was 98.72%. Conclusion scalp acupuncture has accurate therapeu c effi cacy on the pa ents with insomnia from Uganda.展开更多
Objective To observe therapeutic effects of scalp acupuncture at close acupoints combined with rehabilitation training on balance functions of children with cerebral palsy （CP）. Methods Sixty children with CP were r...Objective To observe therapeutic effects of scalp acupuncture at close acupoints combined with rehabilitation training on balance functions of children with cerebral palsy （CP）. Methods Sixty children with CP were randomly divided into a scalp acupuncture combined with rehabilitation training group （group SA＋RT） and a rehabilitation training group （group RT） with 30 cases in each group. Conventional rehabilitation therapy and balance training were applied in group RT, and scalp acupuncture at close acupoints in the parietal region and sub-occipital region was added besides rehabilitation training in group SA＋RT. Balance functions were evaluated by using Berg rating scale, and abilities of daily living were estimated by using rating scale for activities of daily living （ADL）. Results After treatment, both Berg scores for balance and ADL scores were significantly improved in both groups （all P0.05）, and the improvement in group SA＋RT was more obvious than that in group RT （ both P0.05）. Conclusion Combination of scalp acupuncture at close acupoints with rehabilitation training is superior to simple rehabilitation training in improving balance functions and activities of daily living in children with cerebral palsy.展开更多
With the exception of conditions such as dandruff, interest in the scalp is relatively low. However, when we consider the scalp as part of the skin, interesting observations can be made. The average amount of sebum se...With the exception of conditions such as dandruff, interest in the scalp is relatively low. However, when we consider the scalp as part of the skin, interesting observations can be made. The average amount of sebum secretion in the scalp varies depending on sex. Several studies show differences in scalp characteristics among races, but in some cases, these are difficult to find. The scalp has a weaker barrier function than does facial skin. The reason for the weak barrier function is unclear, but it is necessary to consider the effect of dandruff on the scalp. Growth of dandruff-related bacteria weakens the barrier. However, strengthening the barrier suppresses dandruff. In other words, there is an interdependency between scalp bacteria and skin, which is important for the maintenance of scalp barrier homeostasis. Anxiety regarding a sensitive scalp is as high as that for sensitive skin. At least 40% - 50% of individuals in modern society have complaints such as itching due to a sensitive scalp. The sensitivity of the scalp is similar between races. This is not a skin disease, but we have to think about how problems that customers face can be solved. Skin barrier and sensitive scalp are closely related. Collectively, strengthening or lowering the effect on the scalp barrier may result in a healthy scalp environment. As a result, it will alleviate people’s complaints about the scalp.展开更多
Scalp care is important in maintaining good conditions of scalp and hair. Key technical approaches for scalp care include reducing the chance of scalp inflammation, improving scalp defense, and activating hair follicl...Scalp care is important in maintaining good conditions of scalp and hair. Key technical approaches for scalp care include reducing the chance of scalp inflammation, improving scalp defense, and activating hair follicle cells. As the cosmetics industry is moving toward to alternative methods to animal testing based on the 3 Rs(Replacement, Reduction and Refinement), in vitro methods will be widely used to evaluate the effects of scalp care. In this paper, we describe the detailed technical approaches for scalp care and the in vitro evaluation methods for skin irritation, anti-inflammation, barrier function, blood circulation, hair growth and male pattern hair loss prevention, respectively.展开更多
Total scalp avulsion is a time-sensitive, catastrophic injury requiring quick, complex decision-making. Traditionally, these injuries were treated with split-thickness skin grafts. With advancements in microsurgery, t...Total scalp avulsion is a time-sensitive, catastrophic injury requiring quick, complex decision-making. Traditionally, these injuries were treated with split-thickness skin grafts. With advancements in microsurgery, treatments evolved to scalp replantation, becoming the standard of care in scalp reconstruction. Although the integrity of the scalp’s blood vessels is pivotal for successful replantation, the authors believe that scalp replantation should be considered at all costs. In the presented case, a 54-year-old female presented to the emergency room following an incident with an auger that completely avulsed her scalp. She was taken back to the operating room, where scalp replantation was performed. Following replantation, scalp necrosis led to serial debridings in the operating room, and eventually, all of the scalp was debrided down to healthy tissue. Surprisingly, the galea survived despite this, which provided a healthy base for skin grafts. Before definitive coverage was placed, it was decided to utilize a bilaminar acellular dermal matrix along with negative pressure wound therapy to create a more robust bed of granulation tissue. After three weeks of this treatment plan, the patient returned to the operating room, where a healthy, viable bed of granulating tissue was revealed beneath the dermal matrix. Split-thickness skin grafts were taken from her thighs bilaterally and sewn together in a quilt-like fashion to cover the wound bed. The entirety of the graft healed without complication except for one small area that required full-thickness skin grafting in an outpatient setting. Even though the replantation ultimately failed, it allowed the galea to survive, which saved the patient from undergoing a free tissue transfer and allowed her scalp to be reconstructed with split-thickness skin grafts. Even in the setting of polytrauma, the authors hope that anyone treating a scalp avulsion would consider scalp replantation at all costs.展开更多
Objective To compare clinical therapeutic effects of scalp acupuncture, plum-blossom needles tapping the head area combined with speech training and simple speech training on aphasia of ischemic apoplexy. Methods Sixt...Objective To compare clinical therapeutic effects of scalp acupuncture, plum-blossom needles tapping the head area combined with speech training and simple speech training on aphasia of ischemic apoplexy. Methods Sixty cases of aphasia of ischemic apoplexy were randomly divided into an observation group and a control group, 30 cases in each group. The patients in the control group received speech training, and in the observation group, on the basis of speech training, acupuncture was given at the anterior oblique line of vertex temporal, the posterior oblique line of vertex temporal and the middle line of vertex, and after withdrawal of the needles, the area enclosed by the 4 lines of the anterior oblique line of vertex temporal, the middle line of vertex, the posterior oblique line of vertex temporal, and connective line of Qǔbìn （曲鬓 GB 7） with Xuánlí（悬厘 GB 6） was tapped 2-3 times with plum-blossom needles. The assessment criteria in Chinese Aphasia Set Tests were used for comparison of scores of all the sub-items between the two groups. Results After treatment, scores of information amount, fluency, retelling, naming of words, naming of colors, naming of response, answer to yes or no question, hearing and recognizing, executing an order, etc. were signif icantly increased in both the two groups （all P0.05）, and the scores of all the above items in the observation group were more significantly increased as compared with those in the control group （all P0.05）. Conclusion Scalp acupuncture, plum-blossom needle tapping combined with speech training has a significant therapeutic effect on aphasia of ischemic apoplexy, which is better than that of simple speech training.展开更多
Objective: to observe the application effect of detail optimization puncture technique when using disposable scalp needle in childrens scalp intravenous infusion. Methods: 200 children with scalp venous infusion were ...Objective: to observe the application effect of detail optimization puncture technique when using disposable scalp needle in childrens scalp intravenous infusion. Methods: 200 children with scalp venous infusion were received from January 2021 to January 2022, and standardized grouping operation was carried out randomly. The control group applied routine puncture technique to 100 cases included, and the observation group applied detail optimized puncture technique to 100 cases included. The pain score, puncture condition, adverse condition and family satisfaction were compared between groups. Results: the scores of the former group were lower than that of the latter group (P < 0.05). The success rate of one-time puncture was 94.00% in the observation group and 76.00% in the control group. The former group was higher than the latter group, and the puncture time in the former group was lower (P < 0.05);the adverse situation of the children included in the observation group was evaluated as 2.00%, and that of the control group was evaluated as 14.00%. The former group was lower than the latter group (P < 0.05);the satisfaction of the family members of the children included in the observation group was 100.00%, and the satisfaction of the family members of the control group was 90.00%. The former group was higher than the latter group (P < 0.05). Conclusion: the implementation of detail optimization puncture technique in scalp vein infusion with one-time scalp needle puncture can improve the success rate of one-time puncture, reduce the pain of children and make the family satisfied.展开更多
Data mining has the potential to provide information for improving clinical acupuncture strategies by uncovering hidden rules between acupuncture manipulation and therapeutic effects in a data set. In this study, we p...Data mining has the potential to provide information for improving clinical acupuncture strategies by uncovering hidden rules between acupuncture manipulation and therapeutic effects in a data set. In this study, we performed acupuncture on 30 patients with hemiplegia due to acute ischemic stroke. All participants were pre-screened to ensure that they exhibited immediate responses to acupuncture. We used a twirling reinforcing acupuncture manipulation at the specific lines between the bilateral Baihui（GV20） and Taiyang（EX-HN5）. We collected neurologic deficit score, simplified Fugl-Meyer assessment score, muscle strength of the proximal and distal hemiplegic limbs, ratio of the maximal H-reflex to the maximal M-wave（Hmax/Mmax）, muscle tension at baseline and immediately after treatment, and the syndromes of traditional Chinese medicine at baseline. We then conducted data mining using an association algorithm and an artificial neural network backpropagation algorithm. We found that the twirling reinforcing manipulation had no obvious therapeutic difference in traditional Chinese medicine syndromes of ＂Deficiency and Excess＂. The change in the muscle strength of the upper distal and lower proximal limbs was one of the main factors affecting the immediate change in Fugl-Meyer scores. Additionally, we found a positive correlation between the muscle tension change of the upper limb and Hmax/Mmax immediate change, and both positive and negative correlations existed between the muscle tension change of the lower limb and immediate Hmax/Mmax change. Additionally, when the difference value of muscle tension for the upper and lower limbs was 〉 0 or 〈 0, the difference value of Hmax/Mmax was correspondingly positive or negative, indicating the scalp acupuncture has a bidirectional effect on muscle tension in hemiplegic limbs. Therefore, acupuncture with twirling reinforcing manipulation has distinct effects on acute ischemic stroke patients with different symptoms or stages of disease. Improved muscle tension in the upper and lower limbs, reflected by the variation in the Hmax/Mmax ratio, is crucial for recovery of motor function from hemiplegia.展开更多
The specific mechanisms by which acupuncture affects the central nervous system are unclear. In the International Standard Scalp Acupuncture system, acupuncture needles are applied at the middle line of the vertex, an...The specific mechanisms by which acupuncture affects the central nervous system are unclear. In the International Standard Scalp Acupuncture system, acupuncture needles are applied at the middle line of the vertex, anterior parietal-temporal oblique line, and the posterior parietal-temporal oblique line. We conducted a single-arm prospective clinical trial in which seven healthy elderly volunteers (three men and four women;50–70 years old) received International Standard Scalp Acupuncture at MS5 (the mid-sagittal line between Baihui (DU20) and Qianding (DU21)), the left MS6 (line joining Sishencong (EX-HN1) and Xuanli (GB6)), and the left MS7 (line joining DU20 and Qubin (GB7)). After acupuncture, resting-state functional magnetic resonance imaging demonstrated changes in the fractional amplitude of low frequency fluctuations and regional homogeneity in various areas, showing remarkable enhancement of regional homogeneity in the bilateral anterior cingulate, left medial frontal gyrus, supramarginal gyrus, right middle frontal gyrus, and inferior frontal gyrus. Functional connectivity based on a seed region at the right middle frontal gyrus (42, 51, 9) decreased at the bilateral medial superior frontal gyrus. Our data preliminarily indicates that the international standard scalp acupuncture in healthy elderly participants specifcally enhances the correlation between the brain regions involved in cognition and implementation of the brain network regulation system and the surrounding adjacent brain regions. The study was approved by the Ethics Committee of the China-Japan Union Hospital at Jilin University, China, on July 18, 2016 (approval No. 2016ks043).展开更多
OBJECTIVE: To determine whether patients with post-stroke hemiplegia could benefit from long-term treatment with scalp cluster(SC) acupuncture combined with electrical stimulation(ES)and to evaluate the feasibility of...OBJECTIVE: To determine whether patients with post-stroke hemiplegia could benefit from long-term treatment with scalp cluster(SC) acupuncture combined with electrical stimulation(ES)and to evaluate the feasibility of this treatment to improve motor and living abilities.METHODS: Twenty patients were enrolled and divided into two groups: SC acupuncture and SC acupuncture with ES(SC and SC + ES, respectively). All participants also received rehabilitation training.All participants were blindly evaluated using the Fugl-Meyer assessment scale for motor ability, the modified Barthel Index for living ability, and a scale for the degree of neurological deficits. Outcome was assessed at three points before randomized grouping, at the beginning or treatment, and after4 weeks of treatment.RESULTS: Following 4 weeks treatment, all the patients exhibited significant improvements in aspects of motor ability, living ability, and the severity of neurological deficits. The experimental group(SC + ES) scored higher on the Fugl-Meyer assessment scale(68 ± 12) and the modified Barthel Index(49 ± 9) than the control(SC) group(50 ± 13,36 ± 13, respectively).CONCLUSION: When patients with post-stroke hemiplegia are treated using SC acupuncture with ES, motor and living ability can improve more than if they were treated with SC acupuncture alone.展开更多
文摘Scalp necrosis is uncommon in malnourished children,yet temporal catheterization is frequently observed in pediatric hospital settings.The condition is characterized by a black,hard,and unresponsive scalp.Etiologies such as temporal arteritis,burns,and Takayasu’s disease,have been proposed.There is a decline in the use of peripheral catheter monitoring in hospitals.War-related food shortages and social instability significantly affect the trauma and risks that undermine the health,social,and psychological well-being of children.This report describes the case of a 5-month-old infant suffering from severe acute malnutrition following the abduction and subsequent release of his mother by armed individuals after one and a half weeks.The infant,who underwent temporal catheterization for medication administration,presented with extensive scalp necrosis.The necrotic tissue was surgically removed,and the malnutrition was successfully treated,resulting in a favorable clinical outcome.The mother received comprehensive mother-child care from a psychologist.
文摘Background:Several reconstructive techniques have been used to reconstruct scalp defects.Numerous researchers have studied the utilization of bipedicled scalp advancement flaps for scalp defect coverage.In this study,we will assess the adaptability of a bipedicled scalp advancement flap for coverage of huge scalp defects after tumor resection.Methods:This study was performed at the Plastic Surgery Department,Fayoum University Hospital,on 20 patients with huge scalp tumors treated by adequate excision and reconstructed using a bipedicled scalp advancement flap from December 2021 to July 2023.Results:The study was conducted on 20 patients:16(80%)were men and 4(20%)were women presenting with large scalp tumors.The mean age was 57.4 years(33-68 years).The sites of the tumors were 10(50%)occipital,6(30%)parietal,and 4(20%)parieto-occipital.No major complications occurred postoperatively,and the bipedicled flaps survived well in all cases,with no necrosis.Conclusion:Huge scalp defects after tumor resection can be safely reconstructed with a large versatile bipedicled advancement scalp flap,either transversely or longitudinally oriented,with favorable functional results and accepted aesthetic results,apart from the alopecic area over the grafted donor site,which can be treated by tissue expansion if desired later.
文摘The human scalp harbors a diverse range of microbiome,much like other skin surfaces,where both beneficial and harmful microorganisms coexist.This study explores the possibility of balancing key scalp microorganisms,particularly Staphylococcus epidermidis,Staphylococcus aureus and Malassezia species.While Staphylococcus epidermidis plays a beneficial role in maintaining scalp health by producing antimicrobial proteins and supporting the skin barrier,Staphylococcus aureus is identified as a pathogen linked to skin infections and dandruff formation.Malassezia fungi degrade triglycerides in sebum into unsaturated fatty acids,exacerbating scalp conditions like dandruff.In order to promote the beneficial microbe while inhibit the harmful ones,we investigated the combination of 1.0 mM pyrrolidone carboxylate-zinc(PCA-Zn),0.2%malt oligosaccharides(MT:corn-derived oligosaccharide mainly containing maltotetraose)and 0.05 mM Hinokitiol on its microbial activity,which significantly enhanced the growth of Staphylococcus epidermidis while inhibiting both Staphylococcus aureus and Malassezia,offering insights into promising strategies for scalp care.
文摘Giant cerebriform nevus cell nevus of the scalp is an extremely rare form of congenital melanocytic nevus. Giant cerebriform nevus of the scalp has a major psychosocial impact because of its unsightly appearance with fetid maceration. We report the case of a 35-year-old woman who had a painless, malodorous swelling of the cerebriform scalp measuring 20 × 17 cm in diameter with a wide base of insertion at the occipital level adhering to the deep planes. The excision associated with a skin plasty was carried out. Histology concluded that there was a giant cerebriform naevo-cellular nevus of the scalp.
基金Supported by Sichuan Science and Technology Support Program: 2011 SZ0253
文摘Objective To evaluate the efficacy and safety of scalp acupuncture in the treatment of ischemic stroke. Methods The method recommended in the Cochrane Collaboration was used for the systematic evaluation of the randomized controlled trials （RCTs） of scalp acupuncture in the treatment of ischemic stroke. Results One thousand three hundred and ninety-five cases from 13 papers in Chinese version were in compliance with the inclusive criteria and all of them were the low-quality trials. The results of the included 5 trials in Meta analysis indicated that the efficacy of scalp acupuncture was superior to medication in the treatment of ischemic stroke （RR=1.27, 95% CI 1.06, 1.51）. The results of 3 trials in Meta analysis suggested that the recovery in the nerve function defect of the patients with ischemic stroke treated with scalp acupuncture was apparent as compared with medication （WMD = -2.96, 95% C1-4.00, -1.92）. The results of 5 trials in Meta analysis showed that the efficacy of scalp acupuncture on ischemic stroke was potentially superior to body acupuncture （RR=I.10, 95% CI 0.93, 1.28）. Conclusion It is seen in the Meta analysis results of the included 13 RCTs that scalp acupuncture achieves the definite efficacy on ischemic stroke. Due to the limitation of the inclusive numbers and quality of the research, especially the lack of long-term indices, the conclusion reliability of this research is relatively low. Hence, it is required much more evidences for a further confirmation from the large scale and multiple central RCTs with high quality and intrinsic authenticity.
文摘Objective To observe the effect of scalp acupuncture on the treatment of children with cerebral palsy（CP）.Methods Thirty-six children in the USA with cerebral palsy were treated with Chinese scalp acupuncture at the Neuroacupuncture Institute in Santa Fe,New Mexico,USA.Foot motor and sensory area,motor area,speech I area,speech II area,balance area,vision area,apraxia area,and I vision area were selected base on patient＇s clinical manifestation.Rotating manual stimulation was performed during each session of acupuncture.The retention of needles was 30 minutes.Results These 36 patients received between 3–20 treatments,5 had complete resolution of their symptom,14 cases a marked effect,14 had some effect,and 3 patients experienced no improvement.No adverse events were reported.Conclusion Chinese scalp acupuncture in these 33 cases appears to be an effective treatment for patients with CP and should be considered as an adjunctive therapy for more CP patients.Chinese scalp acupuncture relieved many of these patients＇ symptoms,increased their quality of life,and reversed many physical disabilities.Some of the patients returned to a normal life.Those treatments have laid a foundation for research into the clinical application of Chinese scalp acupuncture in the treatment of CP.
文摘Objective To observe the clinical therapeutic effects （BPH） treated with scalp-acupuncture and body-acupuncture. Methods on benign prostate hyperplasia Two hundred and forty patients diagnosed clinically with BPH were randomly divided into 3 groups. In scalp-acupuncture group （80 cases）, foot-motor-sensory area and reproductive area were selected. In body-acupuncture group （82 cases）, the acupoints were selected, such as Zhengji（中极 CV 3）, Guanyau（关元 CV 4） and Sanyfnjiao （三阴交 SP 6）. In combined therapy group of scalp acupuncture and body acupuncture （78 cases）, scalp acupuncture was applied together with body acupuncture. It was to observe the changes in prostate size, Qmax, IPSS （international prostatic symptom score） and QOL （quality of life） before and after treatment of 3 groups. Results The total effective rate was 72.5% in scalp-acupuncture group, 72.0% in bodyacupuncture group and 85.9% in combined therapy group of scalp acupuncture and body acupuncture. The therapeutic effect in combined therapy group was superior to that in either scalp-acupuncture group or body-acupuncture group （both P〈0. 05）. The improvements had been obtained in Qmax, post-void residual volume （PRV）, IPSS and QOL after treatment in 3 groups, in which, the improvement in combined therapy group was apparent. Conclusion Either scalp acupuncture or body acupuncture relieves clinical symptoms and improves the quality of life in BPH patients. But, the best therapeutic effect has been obtained specially in the treatment with combined therapy of scalp acupuncture and body acupuncture.
文摘Objective To probe into the impacts on the expression of vascular endothelial growth factor （VEGF） in ischemic brain tissue treated with cluster puncture on scalp acupoints in rats, Methods 128 rats were randomized into pseudo-operation group, model group, scalp-needling group and cluster-needling group, In scalp-needling group, penetration method was used on the focal side from Bǎihuì （百会 GV20） to Qǔbīn （曲鬓 GB7）, and in cluster-needling group, penetration method was used on both sides from GV20 to GB7, and a common needling on GV 20. Needles were punctured 2 mm in depth, constantly rotated for 10min, retained for 2 h. Immunohistrochemical method was applied to determine VEGF expression and microvessel density （MVD）. Results With the intervention of cluster puncture on scalp acupoints, VEGF： expressions on every time-spot after ischemia were enhanced apparently, superior to those in scalp-needling group. On the three time-spots of the 7^th, 14^th and 21^st days, MVD was increased after cluster puncture on scale acupoints, superior to those in scalp-needling group. Conclusion Cluster puncture on scalp acupoints up-regulated VEGF expression and promoted regeneration of microvessel.
文摘Objective To observe the clinical efficacy of scalp acupuncture in treating patients with insomnia from Uganda. Method Seventy-eight patients with insomnia were subjected to scalp acupuncture,ézhōngxiàn（额中线 MS 1）,épángxiàn Ⅰ（额旁1线 MS 2）,D？ngzhōngxiàn（顶中线 MS 5） and D？ngpángxiàn Ⅰ（顶旁1线 MS 8） were selected,the treatments were carried out once for every two days,and 10 days as a treatment course. The therapeu c effi cacy was observed a er treatments. Results Sixty-two cases were cured,markedly effective in 8 cases,effective in 7 cases and failed in1 case; the total eff ec ve rate was 98.72%. Conclusion scalp acupuncture has accurate therapeu c effi cacy on the pa ents with insomnia from Uganda.
文摘Objective To observe therapeutic effects of scalp acupuncture at close acupoints combined with rehabilitation training on balance functions of children with cerebral palsy （CP）. Methods Sixty children with CP were randomly divided into a scalp acupuncture combined with rehabilitation training group （group SA＋RT） and a rehabilitation training group （group RT） with 30 cases in each group. Conventional rehabilitation therapy and balance training were applied in group RT, and scalp acupuncture at close acupoints in the parietal region and sub-occipital region was added besides rehabilitation training in group SA＋RT. Balance functions were evaluated by using Berg rating scale, and abilities of daily living were estimated by using rating scale for activities of daily living （ADL）. Results After treatment, both Berg scores for balance and ADL scores were significantly improved in both groups （all P0.05）, and the improvement in group SA＋RT was more obvious than that in group RT （ both P0.05）. Conclusion Combination of scalp acupuncture at close acupoints with rehabilitation training is superior to simple rehabilitation training in improving balance functions and activities of daily living in children with cerebral palsy.
文摘With the exception of conditions such as dandruff, interest in the scalp is relatively low. However, when we consider the scalp as part of the skin, interesting observations can be made. The average amount of sebum secretion in the scalp varies depending on sex. Several studies show differences in scalp characteristics among races, but in some cases, these are difficult to find. The scalp has a weaker barrier function than does facial skin. The reason for the weak barrier function is unclear, but it is necessary to consider the effect of dandruff on the scalp. Growth of dandruff-related bacteria weakens the barrier. However, strengthening the barrier suppresses dandruff. In other words, there is an interdependency between scalp bacteria and skin, which is important for the maintenance of scalp barrier homeostasis. Anxiety regarding a sensitive scalp is as high as that for sensitive skin. At least 40% - 50% of individuals in modern society have complaints such as itching due to a sensitive scalp. The sensitivity of the scalp is similar between races. This is not a skin disease, but we have to think about how problems that customers face can be solved. Skin barrier and sensitive scalp are closely related. Collectively, strengthening or lowering the effect on the scalp barrier may result in a healthy scalp environment. As a result, it will alleviate people’s complaints about the scalp.
文摘Scalp care is important in maintaining good conditions of scalp and hair. Key technical approaches for scalp care include reducing the chance of scalp inflammation, improving scalp defense, and activating hair follicle cells. As the cosmetics industry is moving toward to alternative methods to animal testing based on the 3 Rs(Replacement, Reduction and Refinement), in vitro methods will be widely used to evaluate the effects of scalp care. In this paper, we describe the detailed technical approaches for scalp care and the in vitro evaluation methods for skin irritation, anti-inflammation, barrier function, blood circulation, hair growth and male pattern hair loss prevention, respectively.
文摘Total scalp avulsion is a time-sensitive, catastrophic injury requiring quick, complex decision-making. Traditionally, these injuries were treated with split-thickness skin grafts. With advancements in microsurgery, treatments evolved to scalp replantation, becoming the standard of care in scalp reconstruction. Although the integrity of the scalp’s blood vessels is pivotal for successful replantation, the authors believe that scalp replantation should be considered at all costs. In the presented case, a 54-year-old female presented to the emergency room following an incident with an auger that completely avulsed her scalp. She was taken back to the operating room, where scalp replantation was performed. Following replantation, scalp necrosis led to serial debridings in the operating room, and eventually, all of the scalp was debrided down to healthy tissue. Surprisingly, the galea survived despite this, which provided a healthy base for skin grafts. Before definitive coverage was placed, it was decided to utilize a bilaminar acellular dermal matrix along with negative pressure wound therapy to create a more robust bed of granulation tissue. After three weeks of this treatment plan, the patient returned to the operating room, where a healthy, viable bed of granulating tissue was revealed beneath the dermal matrix. Split-thickness skin grafts were taken from her thighs bilaterally and sewn together in a quilt-like fashion to cover the wound bed. The entirety of the graft healed without complication except for one small area that required full-thickness skin grafting in an outpatient setting. Even though the replantation ultimately failed, it allowed the galea to survive, which saved the patient from undergoing a free tissue transfer and allowed her scalp to be reconstructed with split-thickness skin grafts. Even in the setting of polytrauma, the authors hope that anyone treating a scalp avulsion would consider scalp replantation at all costs.
文摘Objective To compare clinical therapeutic effects of scalp acupuncture, plum-blossom needles tapping the head area combined with speech training and simple speech training on aphasia of ischemic apoplexy. Methods Sixty cases of aphasia of ischemic apoplexy were randomly divided into an observation group and a control group, 30 cases in each group. The patients in the control group received speech training, and in the observation group, on the basis of speech training, acupuncture was given at the anterior oblique line of vertex temporal, the posterior oblique line of vertex temporal and the middle line of vertex, and after withdrawal of the needles, the area enclosed by the 4 lines of the anterior oblique line of vertex temporal, the middle line of vertex, the posterior oblique line of vertex temporal, and connective line of Qǔbìn （曲鬓 GB 7） with Xuánlí（悬厘 GB 6） was tapped 2-3 times with plum-blossom needles. The assessment criteria in Chinese Aphasia Set Tests were used for comparison of scores of all the sub-items between the two groups. Results After treatment, scores of information amount, fluency, retelling, naming of words, naming of colors, naming of response, answer to yes or no question, hearing and recognizing, executing an order, etc. were signif icantly increased in both the two groups （all P0.05）, and the scores of all the above items in the observation group were more significantly increased as compared with those in the control group （all P0.05）. Conclusion Scalp acupuncture, plum-blossom needle tapping combined with speech training has a significant therapeutic effect on aphasia of ischemic apoplexy, which is better than that of simple speech training.
文摘Objective: to observe the application effect of detail optimization puncture technique when using disposable scalp needle in childrens scalp intravenous infusion. Methods: 200 children with scalp venous infusion were received from January 2021 to January 2022, and standardized grouping operation was carried out randomly. The control group applied routine puncture technique to 100 cases included, and the observation group applied detail optimized puncture technique to 100 cases included. The pain score, puncture condition, adverse condition and family satisfaction were compared between groups. Results: the scores of the former group were lower than that of the latter group (P < 0.05). The success rate of one-time puncture was 94.00% in the observation group and 76.00% in the control group. The former group was higher than the latter group, and the puncture time in the former group was lower (P < 0.05);the adverse situation of the children included in the observation group was evaluated as 2.00%, and that of the control group was evaluated as 14.00%. The former group was lower than the latter group (P < 0.05);the satisfaction of the family members of the children included in the observation group was 100.00%, and the satisfaction of the family members of the control group was 90.00%. The former group was higher than the latter group (P < 0.05). Conclusion: the implementation of detail optimization puncture technique in scalp vein infusion with one-time scalp needle puncture can improve the success rate of one-time puncture, reduce the pain of children and make the family satisfied.
基金supported by a grant from the Supporting Program of the"Eleventh Five-year Plan"for Science&Technology Research of China,Ministry of Science and Technology of China,No.2006BAI12B02a grant from the Scientific Research Fund for Talent Introduction in the Gansu University of Chinese Medicine of China,No.2012-11
文摘Data mining has the potential to provide information for improving clinical acupuncture strategies by uncovering hidden rules between acupuncture manipulation and therapeutic effects in a data set. In this study, we performed acupuncture on 30 patients with hemiplegia due to acute ischemic stroke. All participants were pre-screened to ensure that they exhibited immediate responses to acupuncture. We used a twirling reinforcing acupuncture manipulation at the specific lines between the bilateral Baihui（GV20） and Taiyang（EX-HN5）. We collected neurologic deficit score, simplified Fugl-Meyer assessment score, muscle strength of the proximal and distal hemiplegic limbs, ratio of the maximal H-reflex to the maximal M-wave（Hmax/Mmax）, muscle tension at baseline and immediately after treatment, and the syndromes of traditional Chinese medicine at baseline. We then conducted data mining using an association algorithm and an artificial neural network backpropagation algorithm. We found that the twirling reinforcing manipulation had no obvious therapeutic difference in traditional Chinese medicine syndromes of ＂Deficiency and Excess＂. The change in the muscle strength of the upper distal and lower proximal limbs was one of the main factors affecting the immediate change in Fugl-Meyer scores. Additionally, we found a positive correlation between the muscle tension change of the upper limb and Hmax/Mmax immediate change, and both positive and negative correlations existed between the muscle tension change of the lower limb and immediate Hmax/Mmax change. Additionally, when the difference value of muscle tension for the upper and lower limbs was 〉 0 or 〈 0, the difference value of Hmax/Mmax was correspondingly positive or negative, indicating the scalp acupuncture has a bidirectional effect on muscle tension in hemiplegic limbs. Therefore, acupuncture with twirling reinforcing manipulation has distinct effects on acute ischemic stroke patients with different symptoms or stages of disease. Improved muscle tension in the upper and lower limbs, reflected by the variation in the Hmax/Mmax ratio, is crucial for recovery of motor function from hemiplegia.
基金funded by the National Natural Science Foundation of China,No.81403455(to JQC)
文摘The specific mechanisms by which acupuncture affects the central nervous system are unclear. In the International Standard Scalp Acupuncture system, acupuncture needles are applied at the middle line of the vertex, anterior parietal-temporal oblique line, and the posterior parietal-temporal oblique line. We conducted a single-arm prospective clinical trial in which seven healthy elderly volunteers (three men and four women;50–70 years old) received International Standard Scalp Acupuncture at MS5 (the mid-sagittal line between Baihui (DU20) and Qianding (DU21)), the left MS6 (line joining Sishencong (EX-HN1) and Xuanli (GB6)), and the left MS7 (line joining DU20 and Qubin (GB7)). After acupuncture, resting-state functional magnetic resonance imaging demonstrated changes in the fractional amplitude of low frequency fluctuations and regional homogeneity in various areas, showing remarkable enhancement of regional homogeneity in the bilateral anterior cingulate, left medial frontal gyrus, supramarginal gyrus, right middle frontal gyrus, and inferior frontal gyrus. Functional connectivity based on a seed region at the right middle frontal gyrus (42, 51, 9) decreased at the bilateral medial superior frontal gyrus. Our data preliminarily indicates that the international standard scalp acupuncture in healthy elderly participants specifcally enhances the correlation between the brain regions involved in cognition and implementation of the brain network regulation system and the surrounding adjacent brain regions. The study was approved by the Ethics Committee of the China-Japan Union Hospital at Jilin University, China, on July 18, 2016 (approval No. 2016ks043).
基金Supported by Grants from the Natural Science Foundation of Shandong Province(No.ZR2011HL019,ZR2014HL060)
文摘OBJECTIVE: To determine whether patients with post-stroke hemiplegia could benefit from long-term treatment with scalp cluster(SC) acupuncture combined with electrical stimulation(ES)and to evaluate the feasibility of this treatment to improve motor and living abilities.METHODS: Twenty patients were enrolled and divided into two groups: SC acupuncture and SC acupuncture with ES(SC and SC + ES, respectively). All participants also received rehabilitation training.All participants were blindly evaluated using the Fugl-Meyer assessment scale for motor ability, the modified Barthel Index for living ability, and a scale for the degree of neurological deficits. Outcome was assessed at three points before randomized grouping, at the beginning or treatment, and after4 weeks of treatment.RESULTS: Following 4 weeks treatment, all the patients exhibited significant improvements in aspects of motor ability, living ability, and the severity of neurological deficits. The experimental group(SC + ES) scored higher on the Fugl-Meyer assessment scale(68 ± 12) and the modified Barthel Index(49 ± 9) than the control(SC) group(50 ± 13,36 ± 13, respectively).CONCLUSION: When patients with post-stroke hemiplegia are treated using SC acupuncture with ES, motor and living ability can improve more than if they were treated with SC acupuncture alone.
