Ehrlichman Richard J, Driscoll Daniel N, Cornejo Kristine, Upton Joseph
From the Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA.
Ann Plast Surg. 2018 Dec;81(6):657-661. doi: 10.1097/SAP.0000000000001644.
The prepuce is an excellent donor site for skin grafts with minimal donor site morbidity. Full-thickness grafts are often required for correction of congenital syndactyly and in burn contractures.
Preputial skin was used for grafting in 18 children: 5 with burn contractures and 13 with congenital syndactyly.
Excellent graft take was achieved with appropriate postoperative care. Postoperatively, there were occasional milia (42%) and hyperpigmentation. These grafts were noted to have superior mobility and elasticity. There was no donor site morbidity.
Preputial skin is accessible, easy to harvest, and hairless and has minimal donor site morbidity. It is especially well suited for the hands and fingers when elasticity of the graft is beneficial.
包皮是皮肤移植的优质供区，供区并发症极少。先天性并指畸形矫正及烧伤挛缩时常需全厚皮片移植。
18例儿童使用包皮皮肤进行移植：5例为烧伤挛缩患者，13例为先天性并指畸形患者。
经适当的术后护理，移植皮片成活良好。术后偶尔出现粟丘疹（42%）和色素沉着。这些移植皮片具有出色的活动性和弹性。未出现供区并发症。
包皮皮肤易于获取，取材方便，无毛发生长，供区并发症极少。当移植皮片的弹性有益时，它特别适合用于手部和手指。
