May Bobby L, Googe Ben, Durr Somer, Googe Amber, Arnold Peter, Hoppe Ian, McIntyre Ben
Duke University Hospital, Durham, North Carolina.
University of Mississippi Medical Center, Division of Plastic and Reconstructive Surgery, Jackson, Mississippi.
Eplasty. 2022 Apr 26;22:e10. eCollection 2022.
Soft tissue reconstruction following traumatic injury can be devastating. Reconstructive treatment modalities can prove to be complex. DermaClose (Synovis Micro Companies Alliance, Inc) is a relatively novel wound closure device that has gained popularity for continuous external tissue expansion (CETE).
A single-institution case series of 3 traumatic pediatric soft tissue injuries in which DermaClose was used for soft tissue reconstruction as an alternative to free tissue transfer was presented. A review of the literature to identify similar reported cases was also conducted.
The authors report their success with the use of this continuous external tissue expander in the management of pediatric soft tissue injuries. Open tibial fractures were sustained by 2 patients, and 1 patient suffered an avulsion injury to the scalp; sequential DermaClose application was successfully utilized to achieve wound closure in all cases.
The minimal amount of data currently available in the literature that document the use of this continuous external tissue expander in pediatric patients suggest that its safety and efficacy are inadequately investigated in this population. The cases included in this report suggest DermaClose may be an alternative to traditional methods for complex soft tissue closure in pediatric patients. For larger wounds, repeat applications with sequential closure should be expected and is described in an algorithm within this report.
创伤后软组织重建可能具有极大挑战性。重建治疗方式可能会很复杂。DermaClose（Synovis Micro Companies Alliance公司）是一种相对新颖的伤口闭合装置，已因持续外部组织扩张（CETE）而受到欢迎。
呈现了一个单机构病例系列，其中3例小儿创伤性软组织损伤使用DermaClose进行软组织重建以替代游离组织移植。还对文献进行了回顾以确定类似的报道病例。
作者报告了在小儿软组织损伤管理中使用这种持续外部组织扩张器取得的成功。2例患者发生开放性胫骨骨折，1例患者头皮撕脱伤；所有病例均成功利用连续应用DermaClose实现伤口闭合。
目前文献中记录这种持续外部组织扩张器在儿科患者中使用的可用数据极少，这表明该人群对其安全性和有效性的研究不足。本报告中的病例表明，DermaClose可能是小儿患者复杂软组织闭合传统方法的一种替代方案。对于较大伤口，应预期并在本报告的算法中描述连续闭合的重复应用。
