๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
POSTOPERATIVE EVALUATION
POSTOPERATIVE EVALUATION
Multiple modalities are available to evaluate repigmentation in patients who have undergone vitiligo surgery. Visual evaluation, tracings, and photography with or without adjunct software analysis can be used. Validated scoring systems which can be used include the VASI, VETF, and Vitiligo Scoring Tool, which is a more comprehensive
approach that evaluates repigmentation, color match, and postsurgical complications.59
Patterns of repigmentation are categorized as follicular, marginal, diffuse, or combined, while color match is graded as excellent, good, fair, or poor, and takes into consideration any pigmentary variations. Adverse effects related to the DS and RS are noted, including change in pigment or texture, scarring, keloids, cobblestoning, milia, or infection.12 Given the psychosocial impact of vitiligo, quality of life is measured before and after treatment using validated measures, such as the Dermatology Life Quality Index (DLQI), Skindex, and Vitiligo Specific Quality of Life Instrument (VitiQoL). Such measures help reinforce the efficacy of surgery not only in inducing repigmentation, but also in relieving psychological distress and improving patient productivity and quality of life. As vitiligo surgery is currently not covered by insurance in the United States, this is instrumental in influencing insurance companies that such procedures should be covered.