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[用自体表皮替代物治疗顽固性伤口。头皮多发性圆柱瘤切除术后]

[Treatment of recalcitrant wounds with autologous epidermal equivalents. After excision of multiple cylindromas of the scalp].

作者信息

Tausche A-K, Richter-Huhn G, Sebastian G

机构信息

Klinik und Poliklinik für Dermatologie des Universitätsklinikums der TU Dresden.

出版信息

Hautarzt. 2004 Mar;55(3):296-300. doi: 10.1007/s00105-003-0637-8.

DOI:10.1007/s00105-003-0637-8
PMID:15029438
Abstract

A 63 year old man developed non-healing ulcerations after en-bloc resection of multiple cylindromas of the scalp. After excision and granulation-stimulating local therapy, the wound was covered with mesh grafts from the thighs. He developed widespread tension blisters with superficial ulcerations in the occipital region which did not heal despite adequate topical therapy. We then treated him successfully with EpiDex, a tissue engineered fully differentiated epidermal equivalent derived from keratinocytes of the outer root sheath of plucked anagen hair follicles. We introduce this treatment modality as a non-invasive effective option in treating non-healing ulcers.

摘要

一名63岁男性在头皮多个圆柱瘤整块切除术后出现不愈合溃疡。切除并进行促进肉芽生长的局部治疗后,伤口用大腿的网状移植物覆盖。他在枕部出现广泛的张力性水疱并伴有浅表溃疡,尽管进行了充分的局部治疗仍未愈合。然后我们用EpiDex成功治疗了他,EpiDex是一种组织工程化的完全分化的表皮替代物,由生长期拔取的毛囊外根鞘角质形成细胞衍生而来。我们将这种治疗方式作为治疗不愈合溃疡的一种非侵入性有效选择进行介绍。

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1
[Treatment of recalcitrant wounds with autologous epidermal equivalents. After excision of multiple cylindromas of the scalp].[用自体表皮替代物治疗顽固性伤口。头皮多发性圆柱瘤切除术后]
Hautarzt. 2004 Mar;55(3):296-300. doi: 10.1007/s00105-003-0637-8.
2
[Familial presentation of multiple scalp tumors].[多发性头皮肿瘤的家族性表现]
Actas Dermosifiliogr. 2007 Mar;98(2):109-11.
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[Adenoid cystic carcinoma of the scalp].[头皮腺样囊性癌]
Ann Dermatol Venereol. 2011 May;138(5):418-21. doi: 10.1016/j.annder.2011.02.018. Epub 2011 Apr 15.
4
An autologous epidermal equivalent tissue-engineered from follicular outer root sheath keratinocytes is as effective as split-thickness skin autograft in recalcitrant vascular leg ulcers.由毛囊外根鞘角质形成细胞构建的自体表皮替代物在治疗顽固性下肢静脉溃疡方面与自体中厚皮片同样有效。
Wound Repair Regen. 2003 Jul-Aug;11(4):248-52. doi: 10.1046/j.1524-475x.2003.11403.x.
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An unusual case of turban tumor syndrome treated with total scalp excision and advancement flap and skin graft reconstruction.一例采用全头皮切除、推进皮瓣和植皮重建治疗的头巾样肿瘤综合征罕见病例。
Ann Plast Surg. 2010 Jul;65(1):107-9. doi: 10.1097/SAP.0b013e3181b40532.
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[CO2 laser treatment of skin cylindromas in Brooke-Spiegler syndrome].[二氧化碳激光治疗布鲁克-施皮格勒综合征中的皮肤圆柱瘤]
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[Surgery on cylindroma of the external auditory canal].[外耳道圆柱瘤手术]
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Multiple cylindromas. The 'turban tumor'.
Arch Ophthalmol. 1987 Aug;105(8):1137. doi: 10.1001/archopht.1987.01060080139044.
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Staged purse-string suture for repairing a large surgical defect on the scalp.分期荷包缝合法修复头皮巨大手术缺损
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10
[Complete scalp removal for cylindroma].
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Giant Mushroom-Like Cutaneous Cylindroma of the Head.头部巨大蘑菇样皮肤圆柱瘤
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Scalping Surgery - Dermatologic Indications beyond Curative Primary Skin Cancer Surgery.头皮手术——原发性皮肤癌根治性手术之外的皮肤科适应证
Open Access Maced J Med Sci. 2017 Jul 19;5(4):414-419. doi: 10.3889/oamjms.2017.115. eCollection 2017 Jul 25.
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Wound conditioning of a deep tissue defect including exposed bone after tumour excision using PROMOGRAN* Matrix, a protease-modulating matrix.

本文引用的文献

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History of a remarkable case of tumours, developed on the head and face; accompanied with a similar disease in the abdomen.一例发生于头部和面部的显著肿瘤病例史;伴有腹部的类似疾病。
Med Chir Trans. 1842;25:227-306.11. doi: 10.1177/095952874202500116.
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An autologous epidermal equivalent tissue-engineered from follicular outer root sheath keratinocytes is as effective as split-thickness skin autograft in recalcitrant vascular leg ulcers.由毛囊外根鞘角质形成细胞构建的自体表皮替代物在治疗顽固性下肢静脉溃疡方面与自体中厚皮片同样有效。
Wound Repair Regen. 2003 Jul-Aug;11(4):248-52. doi: 10.1046/j.1524-475x.2003.11403.x.
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使用PROMOGRAN*基质(一种蛋白酶调节基质)对深部组织缺损(包括肿瘤切除术后暴露的骨骼)进行伤口预处理。
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Hautarzt. 2005 May;56(5):423-9. doi: 10.1007/s00105-005-0929-2.
Tissue-engineered skin. Current status in wound healing.
组织工程皮肤。伤口愈合的现状。
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The cosmetic split-thickness skin graft donor site.美容性中厚皮片供皮区
Plast Reconstr Surg. 1999 Dec;104(7):2286-8. doi: 10.1097/00006534-199912000-00057.
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Epidermal stem cells: properties, markers, and location.表皮干细胞:特性、标志物及位置。
Proc Natl Acad Sci U S A. 2000 Dec 5;97(25):13473-5. doi: 10.1073/pnas.250380097.
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Involvement of follicular stem cells in forming not only the follicle but also the epidermis.毛囊干细胞不仅参与毛囊的形成,还参与表皮的形成。
Cell. 2000 Aug 18;102(4):451-61. doi: 10.1016/s0092-8674(00)00050-7.
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Identification of the familial cylindromatosis tumour-suppressor gene.家族性圆柱瘤病肿瘤抑制基因的鉴定。
Nat Genet. 2000 Jun;25(2):160-5. doi: 10.1038/76006.
10
Cultured epithelial autografts in extensive burn coverage of severely traumatized patients: a five year single-center experience with 30 patients.培养上皮自体移植用于严重创伤患者大面积烧伤创面覆盖:30例患者的单中心5年经验
Burns. 2000 Jun;26(4):379-87. doi: 10.1016/s0305-4179(99)00143-6.