Kiyono M, Matsuo K, Fujiwara T, Hirose T
Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Plast Reconstr Surg. 1992 Feb;89(2):349-52. doi: 10.1097/00006534-199202000-00027.
A simple technique using Marlex mesh and a tissue expander to cover scalp defects is described and two patients are presented. This technique is suitable for medium-sized defects that cannot be closed primarily. Marlex mesh is sutured to the wound edges in lieu of a temporary skin graft and to prevent enlargement of the defect during tissue expansion. The tissue expander is placed under adjacent normal scalp in a subgaleal pocket developed through the scalp defect. The scalp defect is closed secondarily using the expanded scalp flap. This technique was performed in two patients with satisfactory results. Marlex mesh obviates the need for a temporary skin graft to cover the scalp defect.
描述了一种使用 Marlex 网片和组织扩张器覆盖头皮缺损的简单技术，并介绍了两名患者。该技术适用于无法一期闭合的中等大小的缺损。用 Marlex 网片代替临时皮片缝合于伤口边缘，以防止组织扩张过程中缺损扩大。将组织扩张器置于相邻正常头皮下，通过头皮缺损形成的帽状腱膜下腔隙。二期使用扩张后的头皮瓣闭合头皮缺损。该技术应用于两名患者，效果满意。Marlex 网片无需临时皮片覆盖头皮缺损。
