Alt T H
J Dermatol Surg Oncol. 1987 Jun;13(6):638-48. doi: 10.1111/j.1524-4725.1987.tb00530.x.
Since the introduction in the 1940s of an effective method for facial dermabrasion using the wire brush, there have been many ancillary procedures developed. Preoperative aids include scar elevation and punch grafting of deep scars prior to dermabrasion. Retinoic acid can prime the skin for more rapid healing. Gas sterilization of electrical equipment eliminates cross-contamination between patients. Intraoperative improvements include regional block anesthesia of the face, staged narcotic administration and newer methods of facial prechilling, and criteria for the ambient air in the operatory. Gentian Violet staining of the face and use of microfoam tape to delineate the mandibular boundary of a dermabrasion are helpful. The use of a custom handle for the spray refrigerant, the safety of Turkish towels used for retraction, and the application of a sharp Buck's curette make the procedure simpler and more effective. Postoperative aids include the use of systemic steroids and the new biological dressings which simplify the postoperative recovery period.
自20世纪40年代引入使用钢丝刷进行面部磨皮的有效方法以来，已开发出许多辅助程序。术前辅助措施包括在磨皮前进行瘢痕隆起和对深部瘢痕进行打孔移植。维甲酸可使皮肤做好准备以实现更快愈合。电气设备的气体灭菌可消除患者之间的交叉污染。术中的改进包括面部区域阻滞麻醉、分阶段给予麻醉剂以及更新的面部预冷方法，以及手术室环境空气的标准。面部龙胆紫染色和使用微泡沫胶带勾勒磨皮的下颌边界很有帮助。使用定制的喷雾制冷剂手柄、用于牵拉的土耳其毛巾的安全性以及使用锋利的巴克刮匙使手术更简单、更有效。术后辅助措施包括使用全身性类固醇和新型生物敷料，这简化了术后恢复期。
