Parbhoo A V, Simpson M T
Bedfordshire, Hertfordshire & Buckinghamshire Network, Luton & Dunstable University Hospital NHS Foundation Trust, Lewsey Road, Luton, Bedford LU4 0DZ, United Kingdom.
Bedfordshire, Hertfordshire & Buckinghamshire Network, Luton & Dunstable University Hospital NHS Foundation Trust, Lewsey Road, Luton, Bedford LU4 0DZ, United Kingdom.
Br J Oral Maxillofac Surg. 2014 Mar;52(3):283-4. doi: 10.1016/j.bjoms.2013.11.018. Epub 2013 Dec 27.
The suction blistering technique produces an ultra-thin skin graft with no morbidity at the donor site. Negative pressure using wall suction in outpatients is used to generate a graft that can be used for reconstruction, and it avoids the need for invasive procedures in patients with coexisting conditions. The harvested tissue has a low metabolic demand and survival is excellent. We used it in a patient when previous reconstructions after excision of skin cancer had failed. Graft survival was more than 95% by surface area and there was no donor site morbidity. We have found it particularly useful for grafting over Integra® dermal regeneration template (Integra LifeSciences Corporation, NJ, USA) to produce healing at difficult sites. Patients tolerate the procedure well and the donor site heals quickly. It is useful where recipient vascularity is poor or where coexisting conditions prevent complex procedures.
负压水疱技术可产生超薄皮片，供区无并发症。门诊患者使用墙壁负压吸引来生成可用于重建的皮片，避免了合并症患者进行侵入性手术的需要。获取的组织代谢需求低，成活率高。我们曾在一名皮肤癌切除术后先前重建失败的患者中使用该技术。皮片按表面积计算成活率超过95%，且供区无并发症。我们发现该技术特别适用于在Integra®真皮再生模板（美国新泽西州Integra生命科学公司）上植皮，以促进难愈部位的愈合。患者对该手术耐受性良好，供区愈合迅速。在受区血运差或合并症妨碍进行复杂手术的情况下，该技术很有用。
