Zingaro E A, Capozzi A, Pennisi V R
Bothin Burn Center, St Francis Memorial Hospital, San Francisco, CA 94109.
Arch Surg. 1988 May;123(5):652-3. doi: 10.1001/archsurg.1988.01400290138025.
The scalp can be used as a donor site in the extensively burned patient. A series of 21 patients in whom this procedure has been performed, including up to 12 occasions in the same patient, is reviewed. No associated complications were encountered. The technique of harvesting the split-thickness skin grafts in this area requires the use of Pitkin's syringe and Brown air dermatome. The advantages include the availability of a large donor site that is well concealed and heals rapidly. The anatomic basis of the advantageous characteristics of the scalp and the need for subgaleal injections of fluid to stabilize the scalp are reviewed. The occasionally more pressing need to use this area in the extensively burned child because of relative body surface area distributions is also noted. Excessive blood loss, hypertrophic scarring, and the need for hair transplantation have not been noted. Complete hair regrowth has been experienced in nearly all cases.
对于大面积烧伤患者，头皮可用作供皮区。本文回顾了21例接受该手术的患者，其中同一患者最多接受了12次手术，未出现相关并发症。在此区域采集中厚皮片的技术需要使用皮特金注射器和布朗气动取皮刀。其优点包括有一个隐蔽性好且愈合迅速的大供皮区。本文还回顾了头皮有利特性的解剖学基础以及在帽状腱膜下注射液体以稳定头皮的必要性。同时也指出，由于相对体表面积分布的原因，在大面积烧伤儿童中偶尔更迫切需要使用该区域。未发现失血过多、瘢痕增生以及毛发移植的需求。几乎所有病例均实现了毛发完全再生。
