Wijdeveld M G, Grupping E M, Kuijpers-Jagtman A M, Maltha J C
J Craniomaxillofac Surg. 1987 Apr;15(2):51-7. doi: 10.1016/s1010-5182(87)80018-5.
The aim of this study was to investigate macroscopic wound healing after palatal surgery at three different ages. A total of 37 beagle dogs was used, divided into three experimental groups, a control group and a sham-operated group. Palatal surgery was performed at the age of 6, 16 or 25 weeks respectively. The animals of the sham group and the control group were studied from the age of 6 weeks on. All animals were studied longitudinally over a period of six weeks. The three experimental groups were compared mutually and the youngest experimental group was compared with the sham group and the control group. Clinically the wound healing in the median region was complete after two weeks in all animals. In the denuded areas the wound healing continued for the youngest experimental group for 2 to 3 weeks postoperatively and for the two older age groups for 4 to 5 weeks postoperatively. The wound contraction in the denuded areas, recorded as the increasing approximation of the opposite tattoo points was larger in the two older age groups than in the youngest one and was restricted mainly to the first postoperative week. This effect seemed to be permanent because no compensating increase in distance was found later on. It was concluded that shortly after operation wound contraction was mainly responsible for the reduction of the surface area of the denuded bone, but later on, epithelial cell proliferation was the predominant factor.
本研究的目的是调查三个不同年龄段腭裂手术后的宏观伤口愈合情况。共使用了37只比格犬,分为三个实验组、一个对照组和一个假手术组。分别在6周、16周或25周龄时进行腭裂手术。假手术组和对照组的动物从6周龄开始研究。所有动物纵向研究六周。对三个实验组进行相互比较,并将最年轻的实验组与假手术组和对照组进行比较。临床上,所有动物的正中区域伤口在两周后愈合。在裸露区域,最年轻的实验组伤口愈合持续至术后2至3周,而两个年龄较大的组则持续至术后4至5周。在裸露区域记录的伤口收缩情况,即相对纹身点的近似距离增加,在两个年龄较大的组中比最年轻的组更大,且主要局限于术后第一周。这种效果似乎是永久性的,因为后来没有发现距离的补偿性增加。得出的结论是,术后不久,伤口收缩是裸露骨表面积减少的主要原因,但后来,上皮细胞增殖是主要因素。