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[犬咬伤致头皮撕脱伤后的软组织重建]

[Soft tissue reconstruction after scalping injury caused by a dog bite].

作者信息

Mentzel M, Ebinger T, Hoss H, Halder A, Kinzl L, Wachter N J

机构信息

Abteilung Unfallchirurgie, Hand- und Wiederherstellungschirurgie, Universität Ulm.

出版信息

Unfallchirurg. 2000 Oct;103(10):891-4. doi: 10.1007/s001130050636.

Abstract

The reconstruction of soft-tissue damage on the part of the head which is covered with hair is aimed not only at repairing the damage in such a way that it will withstand mechanical strain but also at the restoring the hair on the scalp. In a 5-year-old boy with a scalping injury involving second- and third-degree soft-tissue damage over an area of 20 x 12 cm after a dog bite, surgery was initially performed to transform the damage into purely second-degree damage, which was then repaired with a split skin graft. One year later, the scalp containing the hair was stretched with the aid of two skin expanders over a period of 3 months, so that the split skin graft area could be removed and the hair on the scalp restored.

摘要

头部有毛发覆盖部位的软组织损伤重建,不仅旨在以能承受机械应力的方式修复损伤,还在于恢复头皮上的毛发。一名5岁男孩被狗咬伤,头皮撕脱伤,面积为20×12厘米,伴有二度和三度软组织损伤。最初进行手术将损伤转化为单纯的二度损伤,然后用中厚皮片移植修复。一年后,借助两个皮肤扩张器对有毛发的头皮进行了为期3个月的扩张,以便能够切除中厚皮片移植区域并恢复头皮上的毛发。

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