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术前使用额外组织扩张器治疗并指畸形。

The preoperative use of extra-tissue expander for syndactyly.

作者信息

Ogawa Y, Kasai K, Doi H, Takeuchi E

机构信息

Department of Plastic and Reconstructive Surgery, Kansai Medical University, Osaka, Japan.

出版信息

Ann Plast Surg. 1989 Dec;23(6):552-9. doi: 10.1097/00000637-198912000-00014.

DOI:10.1097/00000637-198912000-00014
PMID:2560356
Abstract

To our knowledge, this is the first report of a method of stretching the interdigital skin of syndactyly by means of a pincer. The pincer, a U-shaped metal spring plate with a sponge cushion, is applied before the operation for about two months; pressure is placed against both sides of the interdigital fusion to expand the skin and to develop hollows. Use of the pincer facilitates a syndactyly operation by allowing defect coverage with a local flap only. Four patients successfully treated by this method are reported. The method has the great advantage of not requiring skin grafts, which often have unfavorable results both functionally and cosmetically.

摘要

据我们所知,这是首次报道一种使用钳子拉伸并指指间皮肤的方法。该钳子是一个带有海绵垫的U形金属弹簧板,在手术前应用约两个月;将压力施加于指间融合处的两侧以扩张皮肤并形成凹陷。使用该钳子仅通过局部皮瓣覆盖缺损就有助于进行并指手术。本文报道了4例采用该方法成功治疗的患者。该方法具有很大的优势,即无需植皮,而植皮在功能和美观方面往往会产生不良后果。

相似文献

1
The preoperative use of extra-tissue expander for syndactyly.术前使用额外组织扩张器治疗并指畸形。
Ann Plast Surg. 1989 Dec;23(6):552-9. doi: 10.1097/00000637-198912000-00014.
2
Local epidermoplasty for syndactyly.并指畸形的局部表皮移植术
Int Orthop. 1991;15(1):39-43. doi: 10.1007/BF00210532.
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Tissue expansion for the treatment of complete syndactyly of the first web.
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Tissue expansion for reconstruction of an unusual form of complex syndactyly.
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Repair of incomplete simple syndactyly by a web flap on a subcutaneous tissue pedicle.采用皮下组织蒂蹼状皮瓣修复不完全性单纯并指畸形。
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J Hand Surg Br. 1995 Jun;20(3):327-30. doi: 10.1016/s0266-7681(05)80087-7.
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[Reconstruction finger web with dorsal two wing-shaped flap for the treatment of congenital syndactyly].[应用双叶背侧皮瓣重建指蹼治疗先天性并指畸形]
Zhonghua Zheng Xing Wai Ke Za Zhi. 2014 Mar;30(2):96-8.
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Congenital syndactyly: defatting facilitates closure without skin graft.先天性并指畸形:去脂有助于闭合且无需植皮。
J Hand Surg Am. 2001 Jul;26(4):589-94. doi: 10.1053/jhsu.2001.26196.
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A new technique for the treatment of syndactyly with osseous fusion of the distal phalanges.一种治疗伴有远节指骨骨性融合的并指畸形的新技术。
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External tissue stretching for closing skin defects in 22 patients.
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引用本文的文献

1
Skin Stretching Techniques: A Review of Clinical Application in Wound Repair.皮肤拉伸技术:伤口修复临床应用综述
Plast Reconstr Surg Glob Open. 2024 Dec 20;12(12):e6405. doi: 10.1097/GOX.0000000000006405. eCollection 2024 Dec.
2
Comparison Between Surgical Techniques for Correction of Congenital Syndactyly: A Systematic Review and Meta Analysis.先天性并指畸形矫正手术技术的比较:一项系统评价与Meta分析
Hand (N Y). 2024 Sep 20:15589447241279456. doi: 10.1177/15589447241279456.
3
The Modified 3-square Flap Method for Reconstruction of Toe Syndactyly.
改良三方形皮瓣法重建并趾畸形
Plast Reconstr Surg Glob Open. 2016 Jul 11;4(7):e793. doi: 10.1097/GOX.0000000000000735. eCollection 2016 Jul.