Lekakis G K, Najuko A, Gluckman P G
ENT Department, Medway and Maritime Hospital, Kent, UK.
Clin Otolaryngol. 2005 Aug;30(4):324-7. doi: 10.1111/j.1365-2273.2005.01029.x.
The aim of this study was to review complications occurring in bone anchored hearing aid (BAHA) patients in relation to wound healing following full thickness skin graft versus split thickness skin graft.
Retrospective study. The medical notes of 22 patients who underwent insertion of BAHA over 24 months were reviewed.
ENT Department at a District General Hospital in the UK.
All patients were adults and underwent one stage procedure following the standard Branemark technique. In 11 cases the skin abutment interface was established by use of full thickness skin graft inset around the implant, and in the other 11 by use of split thickness skin graft.
The incidence of delayed wound healing resulting in an increase of number of visits for change of wound dressings. In addition the degree of soft tissue reactions around the interface was examined.
There was a clear difference between the split and full thickness skin graft groups in relation to the severity of adverse skin reactions and number of visits required for change of dressings. The split thickness group required from three minimum to 13 maximum (median 4) visits in outpatients during the initial observation period until healing was complete. The full thickness group demonstrated one minimum and three maximum (median 2) visits.
In our hands the full thickness skin graft is superior to a split thickness graft.
本研究旨在回顾骨锚式助听器（BAHA）患者中，与全厚皮片移植和中厚皮片移植后伤口愈合相关的并发症。
回顾性研究。对24个月内接受BAHA植入的22例患者的病历进行了回顾。
英国一家地区综合医院的耳鼻喉科。
所有患者均为成年人，按照标准的Branemark技术进行一期手术。11例患者通过在植入物周围植入全厚皮片建立皮肤基台界面，另外11例则使用中厚皮片。
伤口愈合延迟导致换药次数增加的发生率。此外，还检查了界面周围软组织反应的程度。
在不良皮肤反应的严重程度和换药所需次数方面，中厚皮片组和全厚皮片组之间存在明显差异。在初始观察期直至伤口完全愈合期间，中厚皮片组门诊换药次数最少3次，最多13次（中位数4次）。全厚皮片组换药次数最少1次，最多3次（中位数2次）。
在我们的研究中，全厚皮片优于中厚皮片。
