Avery C M, Pereira J, Brown A E
Department of Maxillofacial Surgery, The Queen Victoria Hospital, East Grinstead, UK.
Int J Oral Maxillofac Surg. 2001 Feb;30(1):37-41. doi: 10.1054/ijom.2000.0016.
A cutaneous free radial forearm flap was harvested from 25 patients using a suprafascial dissection technique. The donor site was managed with either a full or split thickness skin graft and a negative pressure wound dressing. The incidence of initial complete graft take was 96% at day 5 and 100% by 1 month. There was 100% early and complete graft take in the full thickness group but one area of partial loss in the split thickness group. This area of graft loss represented less than 0.5% of the total grafted area in this series. The mean time to wound healing was 14 days. There were no cases of tendon exposure or delayed healing. The suprafascial dissection creates a superior graft recipient bed. When combined with the negative pressure wound dressing technique it ensured early and complete graft take.
采用筋膜上剥离技术从25例患者身上切取桡侧前臂游离皮瓣。供区采用全厚或中厚皮片移植及负压伤口敷料处理。术后第5天初始植皮完全成活的发生率为96%，1个月时为100%。全厚皮片组早期植皮完全成活，中厚皮片组有一处部分皮片丢失。该皮片丢失面积占本系列总植皮面积的不到0.5%。伤口愈合的平均时间为14天。无肌腱外露或延迟愈合病例。筋膜上剥离形成了优质的植皮受区床。与负压伤口敷料技术联合应用可确保早期植皮完全成活。
