Dedhia Raj, Luu Quang
Department of Otolaryngology, University of California-Davis, Sacramento, California, USA.
Curr Opin Otolaryngol Head Neck Surg. 2015 Oct;23(5):407-14. doi: 10.1097/MOO.0000000000000191.
Scalp reconstruction remains an evolving field. This study will highlight scalp reconstruction methods, and highlight new technologies and surgical techniques.
Dermal replacements have become increasingly popular as an adjunctive method to increase skin graft take.External tissue expansion has obviated the need for preoperative skin expansion prior to definitive surgery and may be an attractive option for oncology cases.
Scalp reconstruction is a complex interplay of patient factors, surgeon experience, and available techniques and technologies. The thoughtful surgeon is wise to tailor reconstruction to provide adequate coverage with the least morbidity. This study highlights interesting developments in scalp reconstruction, which may expand the surgeon's ability to do so.
头皮重建仍是一个不断发展的领域。本研究将重点介绍头皮重建方法,并突出新技术和手术技巧。
真皮替代物作为增加皮肤移植成活率的辅助方法越来越受欢迎。外部组织扩张消除了确定性手术前进行术前皮肤扩张的必要性,对于肿瘤病例可能是一个有吸引力的选择。
头皮重建是患者因素、外科医生经验以及可用技术之间复杂的相互作用。深思熟虑的外科医生明智地调整重建方式,以最少的发病率提供足够的覆盖。本研究突出了头皮重建中有趣的进展,这可能会扩大外科医生这样做的能力。