Krob M J, Jordan M H
J Trauma. 1987 Feb;27(2):190-4. doi: 10.1097/00005373-198702000-00017.
Management of severe partial-thickness facial burns is difficult and not ideal. Over the past 4 years, 18 patients have undergone serial debridements and allografting at regular intervals until re-epithelialization occurred. Twelve patients required one procedure and two patients required two procedures. Four patients also required autografts on portions of the facial burns. Fourteen patients have been followed for greater than 6 months. Only four patients required scar revision procedures. Three desired cosmetic improvement, and one required functional improvement. The use of serial debridements and allografting controls facial burn healing, as well as producing good cosmetic and functional results.
严重的面部浅Ⅱ度烧伤的处理困难且不理想。在过去4年中,18例患者接受了定期的系列清创和异体皮移植,直至创面重新上皮化。12例患者需进行一次手术,2例患者需进行两次手术。4例患者面部烧伤部分还需自体皮移植。14例患者随访时间超过6个月。只有4例患者需要进行瘢痕修复手术。3例希望改善容貌,1例需要改善功能。系列清创和异体皮移植的应用控制了面部烧伤的愈合,并产生了良好的美容和功能效果。