Fry A M, Patterson A, Orr R L, Colver G B
Department of Oral and Maxillofacial Surgery, Chesterfield Royal Hospital, Calow, Chesterfield, Derbyshire, S44 5BL, UK.
Department of Oral and Maxillofacial Surgery, Rotherham Hospital, Moorgate Road, Rotherham S60 2UD, UK.
Br J Oral Maxillofac Surg. 2014 Nov;52(9):861-3. doi: 10.1016/j.bjoms.2014.05.003. Epub 2014 Jun 2.
Split skin grafts are the predominant method of closure for fibular flap donor sites. We present a novel approach to manage the donor site using the inter-related components of secondary intention healing: creation of a lattice to aid partial closure and compression dressings. The technique, which is widely used in dermatological surgery to manage cutaneous defects after operations for skin cancer, avoids the morbidity associated with the use of split skin grafts and enables early postoperative mobilisation.
游离皮片移植是腓骨瓣供区闭合的主要方法。我们提出了一种新的方法来处理供区,即利用二期愈合的相关组成部分:创建一个网格以辅助部分闭合和使用压迫敷料。该技术在皮肤科手术中广泛用于处理皮肤癌手术后的皮肤缺损,避免了使用游离皮片移植相关的并发症,并能使患者术后早期活动。