頭皮縫合におけるGalea Suturing法の有用性

Usefulness of Galea Suturing Method for Scalp Closure

I．はじめに

　脳神経外科手術後に皮膚切開線に沿った脱毛が生じることは稀なことではない．美容上の問題は比較的軽視されがちであるが，患者にとって大きな精神的負担となることが多い．特に最近は脳ドックが盛んに行われるようになり，無症状の疾患に対して予防的な手術治療が行われてきている．特にこのような場合には患者の機能的な面ばかりでなく，美容上の観点からも障害を残さない手術が要求される時代になってきたと思われる．

　そこでわれわれは創近傍部脱毛の予防に対し，galea suturing法を行い，良好な結果を得ることができたので報告する．

A method for scalp closure to prevent alopecia along a suture line is described.Only the galea is su-tured. By tacking a sufficient width of the galea on both sides with an absorbable suture material, the su-tured wound forms a ridge. The outer layer is then closed with skin staples to keep the blood circulation undisturbed.

This procedure contrasts with the traditional method in which the galea is sutured with the overlying subcutaneous tissue and consequently the hair follicles are strangled. By adopting the method of suturing the galea, development of alopecia along a suture line has been effectively prevented and scarring has be-come less conspicuous.