Chuenkongkaew Tiem
Plastic Surgery Unit, Surgery Division, Nakhon Pathom Regional Hospital, Thesa Road, Nakhon Pathom Province, 73000 Thailand.
Ann Plast Surg. 2003 Feb;50(2):212-4. doi: 10.1097/01.SAP.0000029632.62669.CE.
The author reports an alternative method of caring for the donor sites of split-thickness skin graft that involves the immediate return of superficial thin-layer split skin graft to the donor sites while using the deep split-thickness skin graft for replacement over the defects. The proposed method would decrease the morbidity associated with other established techniques of donor site management, including prolonged healing time, fluid loss, discomfort, pain, and undesirable cosmetic results. As for the recipient site, satisfactory cosmetic effects and less pigmentation changes could be achieved with this type of simple modification of a laminated graft.
作者报告了一种护理中厚皮片供区的替代方法，该方法包括将浅表薄层中厚皮片立即回植到供区，同时使用深层中厚皮片覆盖缺损部位。所提出的方法将降低与其他已确立的供区处理技术相关的发病率，包括愈合时间延长、液体流失、不适、疼痛以及不理想的美容效果。至于受区，通过这种简单改良的分层移植可以获得令人满意的美容效果和较少的色素沉着变化。
