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使用人工真皮对暴露的颅骨进行即刻近乎全头皮重建。

Immediate Near-Total Scalp Reconstruction with Artificial Dermis on Exposed Calvarium.

作者信息

Park Sooyeon, Han Ki Taik, Kim Min Cheol, Lim Jin Soo

机构信息

Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.

出版信息

Arch Craniofac Surg. 2016 Dec;17(4):233-236. doi: 10.7181/acfs.2016.17.4.233. Epub 2016 Dec 23.

DOI:10.7181/acfs.2016.17.4.233
PMID:28913291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5556844/
Abstract

Scalp defect management is complicated secondary to reduced laxity in the scalp and forehead area. For reconstruction of larger defects with exposed bone and loss of the periosteal layer, free flap reconstruction is one option for single-stage surgery, although the procedure is lengthy and includes the possibility of flap loss. We successfully performed a single-stage reconstruction of a large scalp defect using a combination of artificial dermis, split-thickness skin graft, and full-thickness skin graft following wide excision of a cutaneous angiosarcoma, and present our method as one option for the treatment of large oncologic surgical defects in patients who are poor candidates for free flap surgery.

摘要

由于头皮和前额区域的松弛度降低，头皮缺损的处理较为复杂。对于伴有骨质暴露和骨膜层缺失的较大缺损的重建，游离皮瓣重建是一期手术的一种选择，尽管该手术过程冗长且存在皮瓣坏死的可能性。在广泛切除皮肤血管肉瘤后，我们成功地使用人工真皮、断层皮片移植和全厚皮片移植相结合的方法对大面积头皮缺损进行了一期重建，并将我们的方法作为游离皮瓣手术不佳候选患者中大型肿瘤手术缺损治疗的一种选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6962/5556844/ffbe06fae5d0/acfs-17-233-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6962/5556844/5ae1f559c9e2/acfs-17-233-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6962/5556844/2703c16a8fc4/acfs-17-233-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6962/5556844/bee0da95ce9b/acfs-17-233-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6962/5556844/ffbe06fae5d0/acfs-17-233-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6962/5556844/5ae1f559c9e2/acfs-17-233-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6962/5556844/2703c16a8fc4/acfs-17-233-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6962/5556844/bee0da95ce9b/acfs-17-233-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6962/5556844/ffbe06fae5d0/acfs-17-233-g004.jpg

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The use of matriderm and autologous skin graft in the treatment of full thickness skin defects.
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