Application of full-thickness skin graft for large-sized divided nevus correction 全厚皮片游离移植矫治大面积眼睑分裂痣
BACKGROUND: Full-thickness skin graft was a base for burn and plastic surgery, while uniform pressure and regional brake were key factors to ensure skin graft survival and avoid from necrosis. 背景:全厚皮移植是烧伤整形基本操作之一,植皮后均匀加压和局部制动是保证皮片成活、避免皮片坏死的关键。
We trested 20 cases of this injury using suture back method after trimming into full-thickness skin graft. 通过对20例前臂脱套伤采用去脂全厚皮片原位植皮治疗后,皮片全部成活。
At present, the approaches to promote the wound healing of full-thickness skin tissue defect include the application of chemical medicine, new biological and traditional dressings, skin graft, cultured cell layer, cytokines, and gene therapy. 目前对全层皮肤组织缺损创面愈合的促愈措施主要有药物促愈、新型敷料和传统敷料敷盖、皮肤移植、细胞膜片移植、细胞因子外用和基因治疗等。
Objective To study the efficacy of wrist carried thoracic-abdominal tube flap together with abdominal flap and one piece of full-thickness skin graft for the revision of whole face flap. 目的探讨采用腕携式胸腹部联合皮管腹部皮瓣和胸腹部全厚皮片修复全面部瘢痕的临床疗效。
Methods: Swapped full-thickness skin grafts in rabbit backside were designed, and the soft tissue dilator placement operation was performed 2 months after graft survived. 方法:在兔背部设计全厚皮片交换移植,皮片存活2月后进行软组织扩张器的置入。
Conclusion According to the thickness of subcutaneous fat, wrist carried thoracic-abdominal tube flap together with abdominal flap and one piece of full-thickness skin graft, when appropriately chosen, can effectively correct the defect of whole face scar. 结论根据患者面部皮下脂肪的多少,分别采用腕携式胸腹部联合皮管腹部皮瓣和胸腹部全厚皮片修复面颈部瘢痕疗效好,值得临床应用。
After dilatation, the full-thickness skin graft was displaced in the defect zone near the new-born skin. 注水结束后,扩张区切取全厚皮片移植在邻近新造皮肤缺损区。
Conclusion: The principle of treatment is to remove necrotic tissue and to use remnant temporal superficial fascia flap with full-thickness skin graft to cover the wounds. 结论:皮瓣坏死的治疗原则是:适时去除坏死组织,首选患侧遗留颞浅筋膜瓣转移加全厚植皮术。
Cases were repaired by using remnant temporal superficial fascia flaps combining with full-thickness skin graft and random upper arm flap, respectively. 4例分别采用患侧遗留颞浅筋膜瓣转移加全厚植皮术、同侧上臂随意皮瓣带蒂转移术修复。
Revision of whole face scar with one piece of full-thickness graft or thoracic-abdominal flap 胸腹部皮瓣及全厚皮片修复全面部瘢痕
Full-thickness free skin grafts or scrotal skin graft ③ vesical or buccal mucosa grafts ④ ureter, artery, vein and appendix tissue. 膀胱粘膜、口腔粘膜;④输尿管、动脉、静脉、阑尾组织。
Group A: Tissue engineering full-thickness skin graft group. A组:组织工程全层皮肤移植组;
Bilateral or unilateral neck brachial flap at the same time with full-thickness skin graft donor site wound repair is the face neck Wound of an effective surgical treatment. 双侧或单侧项颈肩肱皮瓣转移,同时用全厚皮片移植修复供区创面是面颈部创面的有效外科治疗手段。