Gümüșs N
Plastic and Reconstructive Surgery Department, Adana Numune Research and Training Hospital, Adana, Turkey.
Ann Burns Fire Disasters. 2008 Dec 31;21(4):206-9.
This study reports on the use of two unusual donor sites for the harvesting of island skin grafts used in the coverage of large skin wounds. Island grafts were taken not only from intact skin but also from itself and from newly generated epithelium, so that it could be transferred to another defect area. The study included 23 patients with skin wounds of different sizes due to burn injury (17 patients) and traffic accidents (6 cases). After granulation tissue had taken on the wound surface, island grafts (area 1 to 2 cm2) were harvested from three donor sites and placed over the wound 1 to 3 cm apart. The granulation tissue around the grafts was covered by the epithelium spreading from the island grafts, with the wounds closing in two to seven weeks, depending on their size. Donor areas healed spontaneously, with epithelialization in one to three weeks. Utilizing the new donor sites as a source of epithelium, island grafts may become a new alternative to other skin graft techniques in patients who have limited donor sites or who do not want any more donor site scars.
本研究报告了使用两个不同寻常的供区来获取岛状皮瓣，用于覆盖大面积皮肤伤口。岛状皮瓣不仅取自完整皮肤，还取自自身以及新生成的上皮组织，以便能够转移至另一缺损区域。该研究纳入了23例因烧伤（17例）和交通事故（6例）导致不同大小皮肤伤口的患者。在创面形成肉芽组织后，从三个供区获取岛状皮瓣（面积为1至2平方厘米），并将其相隔1至3厘米放置在伤口上。皮瓣周围的肉芽组织被从岛状皮瓣蔓延而来的上皮组织覆盖，伤口在两至七周内愈合，具体取决于伤口大小。供区自行愈合，在一至三周内实现上皮化。利用这些新的供区作为上皮组织来源，对于供区有限或不想再有供区瘢痕的患者，岛状皮瓣可能成为其他皮肤移植技术的一种新选择。
