(Koray Erdogan Embedding Placer)
Dupa ani in care grafturile erau introduse folosind forcepsuri in incizii realizate anterior pentru introducerea grafturilor şi pentru a crea linii frontale cu un look natural şi tample cu unghiuri inguste şi joase, a devenit evident ca utilizarea acestor forcepsuri ar fi putut fi cauza curbarii şi leziunilor grafturilor care in general au loc in cele 24 de ore de dupa operatie. Acest fenomen pare sa fie intalnit mai ales in cazul pacientilor cu pielea tare, care sangereaza mai mult şi cu grafturi fragile.
Exista doi factori care pot cauza acest fenomen. Un factor este nivelul de oboseala al chirurgilor şi tehnicienilor atunci cand plaseaza grafturile dupa foarte multe ore de operatie şi tendinta inconştienta de a aplica mai multa presiune decat este necesar cu forcepsul atunci cand sunt tinute grafturile. Celalalt factor este tendinta naturala a inciziilor facute anterior de a se strange şi de a deveni mai putin vizibile in timpul scurs pana la implantarea efectiva si incercarile care intervin apoi spre a determina directia corecta a inciziilor in vederea implantarii grafturilor care au fost luate cu forcepsul.
K.E.E.P. -ul (Koray Erdogan Embedding Placer) a fost creat ca un raspuns ferm pentru a plasa grafturile fara leziuni utilizand incizii facute anterior. Este facut din otel medical de tip 304 cu o grosime de 50 microni şi este creat pentru a fi folosit pe termen lung. Este disponibil in marimi diferite care sunt in concordanta cu marimea şi caracteristicile grafturilor, cu doua tipuri adaptabile atat pentru a fi utilizat cu mana stanga cat si cu mana dreapta. Acest instrument poate fi supus procesului normal de sterilizare şi este disponibil atat pentru a fi utilizat cu mana stanga cat si cu mana dreapta.
Odata ce au fost studiate grafturile curbate dupa operatie, s-a observat ca procentul de creştere a grafturilor de 65% era relativ redus şi inacceptabil in comparatie cu procentul de creştere a parului transplantat (mai importanta decat procentul de crestere a grafturilor). Intr-un alt studiu realizat pe un numar de 50 de grafturi (20 de grafturi cu 3 fire de par = 60 fire de par şi 30 de grafturi cu doua fire de par, utilizand K.E.E.P. versus forceps, rata de creştere folosind ambele instrumente era 100%, in timp ce rata de creştere a parului era 93.4% (112 fire de par) cu K.E.E.P /versus 77.5% (93 fire de par) utilizand forcepsul. Rezultatul general utilizand K.E.E.P. a fost 18 triple, 26 duble şi 6 cu cate un fir de par. Cu forcepsul, rezultatul general a fost 7 triple, 29 duble şi 14 cu un singur fir de par. Ceea ce inseamna o crestere cu 15%. S-au inregistrat in mod repetat aceleasi rezultate dupa operatii standard şi long-hair FUE folosing K.E.E.P.-ul. Rezultatele generale cu K.E.E.P.-ul de-a lungul timpului apar mai repede şi prezinta o densitate mai mare. Ceea ce inseamna ca este o solutie mai buna raportata la cost şi la calitate pentru o perioada indelungata a operatiei FUE.
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