Mimoun M, Boccara D, Chaouat M
Service de chirurgie plastique, reconstructrice, esthétique, centre de brûlés, hôpital Saint-Louis, Assistance publique de Paris, université de Paris-VII, Paris-Diderot, 1, avenue Claude-Vellefaux, 75010 Paris, France.
Ann Chir Plast Esthet. 2011 Oct;56(5):358-68. doi: 10.1016/j.anplas.2011.08.008. Epub 2011 Sep 16.
The skin expansion marks a turning point in the repair of burn sequelae by allowing replace the original tissue with a coating of the same quality or a large full-thickness skin graft. The authors explain the peculiarities of this process in the sequelae of burn: indications, surgical technique, complications. They stressed the difficulties related to the "invisible loss" of skin, the "mandatory deficit" of the expansion, the expansion sub-scarring, the development of the treatment plan, the sustainability of the expansion.
皮肤扩张术标志着烧伤后遗症修复的一个转折点,它能够用质量相同的覆盖物或大面积全厚皮片替代原始组织。作者阐述了烧伤后遗症修复过程中的特点:适应症、手术技术、并发症。他们强调了与皮肤“无形损失”、扩张“必然不足”、扩张后瘢痕形成、治疗方案制定以及扩张可持续性相关的困难。