Buhrer D P, Huang T T, Yee H W, Blackwell S J
Division of Plastic and Reconstructive Surgery, University of Texas Medical Branch, Galveston.
Plast Reconstr Surg. 1988 Apr;81(4):512-5. doi: 10.1097/00006534-198804000-00005.
During the past 18 months, 60 tissue expanders were utilized in the reconstruction of 42 children with burn alopecia of the scalp not amenable to a single excision and primary closure at the Shriners Burns Institute in Galveston, Texas. The children were grouped according to the degree of alopecia. All patients with defects of 15 percent or less of the total hair-bearing scalp were able to obtain complete closure of their defects with two operations, i.e., one to place the expander and the second to remove the expander and advance the flaps. Some patients with defects up to 40 percent were closed with serial expansion. Patients with even larger defects had a significant reduction in the percentage of alopecia and benefited from re-creation of anterior hairlines. We have encountered a postoperative complication rate of 10 percent. When compared to previous methods of treating burn alopecia, tissue expansion allows a more rapid closure, fewer operations and coincident anesthetics, and decreased total length of hospitalization.
在过去18个月里，得克萨斯州加尔维斯顿市施赖纳烧伤研究所使用60个组织扩张器为42例头皮烧伤性秃发患儿进行重建手术，这些患儿不适用于单次切除和一期缝合。患儿根据秃发程度分组。所有秃发面积占整个有发头皮15%或更小的患者，通过两次手术就能完全闭合缺损，即一次植入扩张器，第二次取出扩张器并推进皮瓣。一些缺损达40%的患者通过连续扩张得以闭合。缺损更大的患者秃发百分比显著降低，并从前发际线的重建中受益。我们遇到的术后并发症发生率为10%。与以往治疗烧伤性秃发的方法相比，组织扩张能实现更快的闭合、更少的手术和同期麻醉，并缩短总住院时间。
