头皮扩张术：手术考量及未来可能的发展方向。
Scalp expansion: Surgical considerations and possible future directions.
作者信息
Raposio Edoardo
机构信息
Department of Medicine and Surgery, University of Parma, Italy.
Department of Surgical Specialties Cutaneous, Mininvasive, Regenerative and Plastic Surgery Unit, Parma University Hospital, Parma, Italy.
出版信息
Indian J Plast Surg. 2018 Jan-Apr;51(1):84-88. doi: 10.4103/ijps.IJPS_209_17.
INTRODUCTION
Repairing large scalp defects has always been a difficult task for plastic surgeons. This is because the requirements of such procedures are two-fold: sufficient soft-tissue coverage is required, and to obtain a satisfactory aesthetic outcome, a sufficient number of covering hairs should be ideally provided.
MATERIALS AND METHODS
Based on the author's experience in this repair technique over a 20-year period, this article presents some technical details of scalp expansion, surgical refinements and possible directions for further technical advancement.
RESULTS
Data and details on relevant scalp anatomy, expander choice, expander placement, subgaleal undermining, galeotomies and acute scalp expansion are provided.
CONCLUSIONS
The author hopes that the above-mentioned details may be of some utility in the complex field of scalp expansion.
引言
修复大面积头皮缺损一直是整形外科医生面临的一项艰巨任务。这是因为此类手术有两方面要求：需要足够的软组织覆盖，并且为了获得满意的美学效果，理想情况下应提供足够数量的覆盖毛发。
材料与方法
基于作者在20年期间运用这种修复技术的经验，本文介绍了头皮扩张、手术改进以及进一步技术进步可能方向的一些技术细节。
结果
提供了有关头皮相关解剖结构、扩张器选择、扩张器放置、帽状腱膜下剥离、帽状腱膜切开术和急性头皮扩张的数据及细节。
结论
作者希望上述细节在复杂的头皮扩张领域可能会有一定用处。
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