Top

Published in:

01-04-2016 | Clinical Report

Postoperative permanent pressure alopecia

Authors: Zi Yun Chang, Jan Ngian, Claudia Chong, Chin Ted Chong, Qui Yin Liew

Published in: Journal of Anesthesia | Issue 2/2016

Abstract

A 49-year-old Chinese female underwent elective laparoscopic assisted Whipple’s surgery lasting 12 h. This was complicated by postoperative pressure alopecia at the occipital area of the scalp. Pressure-induced hair loss after general anaesthesia is uncommon and typically temporary, but may be disconcerting to the patient. We report this case of postoperative permanent pressure alopecia due to its rarity in the anaesthesia/local literature, and review the risk factors for its development.

Abel RR, Lewis GM. Postoperative (pressure) alopecia. Arch Dermatol. 1960;81:34–42.CrossRefPubMed

Danber RPR, De Berker D, Wojnarowska F. Disorders of hair. In: Champion RH, Burton JL, Burns DA, Breathnach. SM eds. The Rook/Wilkinson/Ebling Textbook of Dermatology, 6th edn. Oxford: Blackwell Science,1998;2919–30.

Ghorbani J, Dabir S, Givehchi G, Najafi M. Co-presentation of Tapia’s syndrome and pressure alopecia—a rare event after septorhinoplasty: a case report and literature review. Acta Anaesthesiologica Taiwanica. 2014;52(1):38–40.CrossRefPubMed

Patel KD, Henschel EO. Postoperative alopecia. Anesth Analg. 1980;59(4):311–3.CrossRefPubMed

Gormley TP, Sokoll MD. Permanent alopecia from pressure of a head strap. JAMA. 1967;199(10):747–8.CrossRefPubMed

Iwai T, Matsui Y, Hirota M, Tohnai I, Maegawa J. Temporary alopecia caused by pressure from a headband used to secure a reference frame to the head during navigational surgery. Br J Oral Maxillofac Surg. 2009;47(7):573–4.CrossRefPubMed

García-Hernández MJ, Ruiz-Doblado S, Rodriguez-Pichardo A, Camacho F. Alopecia areata, stress and psychiatric disorders: a review. J Dermatol. 1999;26(10):625–32.CrossRefPubMed

Ruiz-Doblado S, Carrizosa A, García-Hernández MJ. Alopecia areata: psychiatric comorbidity and adjustment to illness. Int J Dermatol. 2003;42(6):434–7.CrossRefPubMed

Wiles JC, Hansen RC. Postoperative (pressure) alopecia. J Am Acad Dermatol. 1985;12(1):195–8.CrossRefPubMed

10.

Dominguez E, Eslinger MR, McCord SV. Postoperative (pressure) alopecia: report of a case after elective cosmetic surgery. Anesth Analg. 1999;89(4):1062.PubMed

11.

Tomioka T, Hayashida M, Hanaoka K. Pressure alopecia in living donors for liver transplantation. Canadian J Anesth/J Canadien d’anesthésie. 2004;51(2):186–7.CrossRef

12.

Bhatt HK, Sharma MC, Blair NP. Pressure alopecia following vitreoretinal surgery. Am J Ophthalmol. 2004;137(1):191–3.CrossRefPubMed

13.

Lypka MA, Yamashita DDR, Urata MM. Postoperative alopecia following orthognathic surgery. J Oral Maxillofac Surg. 2008;66(9):1957–8.CrossRefPubMed

14.

Leonardi R, Lombardo C, Loreto C, Caltabiano R. Pressure alopecia from orthodontic headgear. Am J Orthod Dentofac Orthop. 2008;134(3):456–8.CrossRef

15.

Gershan LA, Esterly NB. Scarring alopecia in neonates as a consequence of hypoxaemia-hypoperfusion. Archiv Disease Childh. 1993;68(5 Spec No):591–593.

16.

Boyer JD, Vidmar DA. Postoperative alopecia: a case report and literature review. Cutis. 1994;54(5):321–2.PubMed

17.

Dominguez E, Eslinger MR, McCord SV. Postoperative (pressure) alopecia: report of a case after elective cosmetic surgery. Anesth Analg. 1999;89(4):1062.PubMed

18.

Goodenough J, Highgate J, Shaaban H. Under pressure? Alopecia related to surgical duration. Br J Anaesth. 2014;113(2):306–7.CrossRefPubMed

Title: Postoperative permanent pressure alopecia
Authors: Zi Yun Chang
Jan Ngian
Claudia Chong
Chin Ted Chong
Qui Yin Liew
Publication date: 01-04-2016
Publisher: Springer Japan
Published in: Journal of Anesthesia / Issue 2/2016
Print ISSN: 0913-8668
Electronic ISSN: 1438-8359
DOI: https://doi.org/10.1007/s00540-015-2100-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Postoperative permanent pressure alopecia

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2016

Combined nephrectomy and aortic valve replacement: perioperative decision-making

Pediatric anesthesia: current status and future directions

The utility of anatomic diagnosis for identifying femoral nerve palsy following gynecologic surgery

Emergence agitation in children: risk factors, prevention, and treatment

Sugammadex and rocuronium-induced anaphylaxis

Comparison of general anesthesia and monitored anesthesia care in patients undergoing breast cancer surgery using a combination of ultrasound-guided thoracic paravertebral block and local infiltration anesthesia: a retrospective study