Al-Qattan M M
Division of Plastic Surgery, King Saud University, Riyadh, Saudi Arabia.
Burns. 2000 Sep;26(6):581-6. doi: 10.1016/s0305-4179(00)00008-5.
The technique and results of surgery in 23 patients with skin dyspigmentation of the upper limb are presented. The study population was divided into two groups. Group A (n=15 patients) had hyperpigmented skin grafts in the palm or the palmar aspect of the digits. All patients underwent excision of the hyperpigmented grafts and coverage with split-thickness plantar skin grafts. The plantar grafts gave an excellent colour and texture match and all patients were satisfied with the result. Group B (n=8 patients) had post-burn hypopigmentation on the dorsal aspect of digits, hand or forearm. These patients underwent dermabrasion and thin split-thickness grafting harvested from the upper thigh or buttock. All grafts healed well with no residual hypopigmentation. However, the graft was slightly hyperpigmented when compared to the surrounding skin. Despite this complication, all patients were satisfied and considered this slight hyperpigmentation much better than the preoperative hypopigmentation. The pathogenesis of skin dyspigmentation and other treatment techniques are discussed.
本文介绍了23例上肢皮肤色素沉着异常患者的手术技术和结果。研究人群分为两组。A组（15例患者）手掌或手指掌面有色素沉着过度的皮肤移植。所有患者均接受色素沉着过度移植的切除，并采用足底中厚皮片覆盖。足底移植的颜色和质地匹配良好，所有患者对结果满意。B组（8例患者）手指、手部或前臂背侧有烧伤后色素减退。这些患者接受了磨皮术，并采用从大腿上部或臀部获取的薄中厚皮片移植。所有移植均愈合良好，无残留色素减退。然而，与周围皮肤相比，移植皮肤略有色素沉着过度。尽管有这一并发症，所有患者均满意，并认为这种轻微的色素沉着过度比术前的色素减退要好得多。本文还讨论了皮肤色素沉着异常的发病机制和其他治疗技术。
