McCauley R L, Oliphant J R, Robson M C
Department of Surgery, University of Texas Medical Branch, Shriners Burns Institute, Galveston 77550.
Ann Plast Surg. 1990 Aug;25(2):103-15. doi: 10.1097/00000637-199008000-00006.
Correction of burn alopecia using tissue expansion has recently gained acceptance. Yet, the technical approach to correction of this problem remains one of trial and error. Between January 1985 and December 1988, 102 children underwent placement of tissue expanders for correction of burn alopecia. Two hundred twenty-two expanders were placed during the 178 operative settings. Mean age was 9.1 +/- 4.3 years (range, 3-17 years). Forty-two patients previously underwent partial excisions or rotation of flaps to reduce or camouflage the initial burn alopecia. A review of our experience has dictated that proper classification of burn alopecia can influence operative planning and is essential for establishing guidelines for the correction of this problem. We have developed a classification scheme that addresses this problem. Patients are classified as type I, uniform alopecia; type II, segmental alopecia; type III, patchy alopecia; and type IV, total alopecia. The role of tissue expansion is reviewed in each group.
使用组织扩张术矫正烧伤后脱发最近已被广泛接受。然而，矫正这一问题的技术方法仍然是反复试验的过程。在1985年1月至1988年12月期间，102名儿童接受了组织扩张器植入手术以矫正烧伤后脱发。在178次手术中植入了222个扩张器。平均年龄为9.1±4.3岁（范围为3至17岁）。42名患者之前接受过部分切除或皮瓣旋转手术，以减少或掩盖最初的烧伤后脱发。回顾我们的经验可知，烧伤后脱发的正确分类可影响手术规划，并且对于制定矫正这一问题的指导原则至关重要。我们已经制定了一种分类方案来解决这个问题。患者分为I型，均匀性脱发；II型，节段性脱发；III型，斑片状脱发；IV型全秃。本文将对每组中组织扩张术的作用进行综述。
