Department of Otolaryngology, Facial Plastic and Reconstructive Surgery, Lange Land Hospital, Toneellaan 1, 2725 KJ, Zoetermeer, The Netherlands.
Eur Arch Otorhinolaryngol. 2010 Aug;267(8):1277-83. doi: 10.1007/s00405-010-1210-6. Epub 2010 Feb 18.
The objective of the study is to determine efficacy in terms of survival rate and cosmesis of "normal" full-thickness skin grafts (FTSGs) as compared to perichondrial cutaneous grafts (PCCGs) in facial reconstruction. A chart review of all facial reconstructions using FTSGs and PCCGs between 1995 and 2005 was undertaken. All patients were treated by the same surgeon. A total of 121 skin grafts were included in this study (70 FTSGs and 51 PCCGs). All patients were examined at days 5 and 10 to assess the viability of the graft. For esthetic evaluation, 70 photographs were available with a minimum follow-up of 6 months (42 FTSGs/59% of total; 28 PCCGs/54% of total). The photos were randomly shown to three raters, who had no previous knowledge about the graft being a FTSG or PGCG. The complete take rate of the FTSGs and of the PCCGs was respectively, 87% (9 failures) and 94% (3 failures) .This is no statistically significant difference (P = 0.1857). The cosmetic outcome of PCCGs overall scored better by the three raters. However, the esthetic rating between PCCG and FTSG was of no statistical significant difference (P = 0.06). In conclusion, both FTSGs and PCCGS are viable options in facial reconstruction, with no statistical difference in survival and cosmesis. They are simple and one-stage procedures. The PCCG is a smooth graft, containing a few sebaceous glands and possibly has less contraction.
本研究旨在比较正常全厚皮片（FTSG）与软骨膜皮片（PCCG）在面部重建中存活率和美容效果的差异。对 1995 年至 2005 年间使用 FTSG 和 PCCG 进行的所有面部重建的图表进行了回顾性分析。所有患者均由同一位外科医生治疗。本研究共纳入 121 例皮片（70 例 FTSG 和 51 例 PCCG）。所有患者均在第 5 天和第 10 天接受检查，以评估移植物的存活情况。为了进行美学评估，有 70 张照片可供使用，随访时间至少为 6 个月（42 例 FTSG/总病例的 59%；28 例 PCCG/总病例的 54%）。这些照片随机展示给 3 位评估者，他们事先不知道移植物是 FTSG 还是 PCCG。FTSG 和 PCCG 的完全成活率分别为 87%（9 例失败）和 94%（3 例失败），无统计学差异（P=0.1857）。PCCG 的整体美学效果总体上得到了三位评估者的更好评分。然而，PCCG 和 FTSG 的美学评分无统计学差异（P=0.06）。结论：FTSG 和 PCCG 均为面部重建的可行选择，在存活率和美容效果方面无统计学差异。它们是简单的单阶段手术。PCCG 是一种光滑的移植物，含有少量皮脂腺，可能收缩较少。
