Division of Plastic Surgery, Hospital das Clínicas de Ribeirão Preto, FMRP, Universidade de São Paulo, Sao Paulo, Brazil.
Burns. 2010 Sep;36(6):883-90. doi: 10.1016/j.burns.2009.11.015. Epub 2010 Feb 18.
This study aims to describe the incidence of complications on scalp from which a thin split-skin graft was harvested (0.005-0.007 in.) of the donor site in children and adult burn victims.
We reviewed the medical records of 295 burn patients admitted in the Burn Unit of the Clinical Hospital of the Faculty of Medicine of Ribeirão Preto, from January 1998 to December 2007, whose scalps were used as donor site for grafts. Skin-graft thickness varied from 0.005 in. to 0.007 in. The occurrence of pathological healing was evaluated clinically and the time of epithelisation by the main surgeon and a plastic surgeon or a staff nurse.
Of the 295 patients whose scalps were used as donor site, 274 were followed from 6 months to 10 years after the procedure (median 18.2 months). Twenty-one patients were lost to follow-up in the first 6 months. No hypertrophic scarring or keloids on the donor site was observed. Five patients (1.82%) presented with folliculitis and two of them were evaluated with small areas of alopecia (0.7%), treated with resection of these areas and primary suture. The average time of epithelisation of the donor site was 7 days.
The harvest of thinner split graft from the scalp is a safe procedure.
本研究旨在描述儿童和成人烧伤患者头皮供区（0.005-0.007 英寸）取薄断层皮片移植后并发症的发生率。
我们回顾了 1998 年 1 月至 2007 年 12 月期间在里贝朗普雷图医学院临床医院烧伤科住院的 295 例烧伤患者的病历，这些患者的头皮被用作移植供区。皮片厚度从 0.005 英寸到 0.007 英寸不等。主要外科医生和整形外科医生或护士长临床评估病理性愈合的发生情况，并评估上皮化的时间。
在 295 例头皮被用作供区的患者中，274 例患者在手术后 6 个月至 10 年内（中位数为 18.2 个月）进行了随访。21 例患者在术后 6 个月内失访。供区未观察到肥厚性瘢痕或瘢痕疙瘩。5 例患者（1.82%）出现毛囊炎，其中 2 例患者评估为小面积脱发（0.7%），通过切除这些区域和一期缝合进行治疗。供区上皮化的平均时间为 7 天。
从头皮采集更薄的断层皮片是一种安全的手术。
