Zhang Qingtao, Xu Lei, Liu Yang, Tang Xiaoyong, Wang Jia, Deng Yongbing, Chen Peng
Department of Neurosurgery, Chongqing Emergency Medical Center, Chongqing University Central Hospital, Chongqing, China.
J Craniofac Surg. 2023;34(1):374-380. doi: 10.1097/SCS.0000000000008856. Epub 2022 Oct 10.
The scalp defect was a clinical common constructive challenge. This research verified the efficacy of the skin-stretching device in the treatment of scalp defect and assessed the associated complications.
The clinical data of 12 patients with scalp defect treated with skin-stretching device from January 2020 to January 2021 were collected. We used EASApprox skin-stretching device for the treatment of scalp defect. We described a detailed reconstruction procedure for this treatment. We collected the site, distance from wound edge and other characteristics of the wound, and recorded the number of stretching cycles, operation time, closed state, healing time, and observed postoperative complications and wound healing status.
In this research, the scalp defect was mainly caused by pressure ulcer, and mainly located in the parietooccipital site. The average distance from wound edge was 3.2 cm, the average stretching cycles was 4.2 times during the operation, and the average operation time was 43.5 minutes. Ten patients were directly sutured after stretching, and 2 patients underwent first-stage stretching to reduce the wound. The average time of wound healing was 13.5 days. Postoperative follow-up of 3 months, no patients had wound tear, necrosis, 1 patient suffered from wound exudation and infection due to poor nutrition. Skin function and final scar was acceptable.
The treatment of skin-stretching device was effective for scalp defect and has the advantages of convenient operation, acceptable functional results, without severe complications. In addition to traditional treatment, this was a promising treatment. However, more clinical and preclinical research of the skin-stretching device were required.
头皮缺损是临床上常见的结构性挑战。本研究验证了皮肤拉伸装置治疗头皮缺损的疗效，并评估了相关并发症。
收集2020年1月至2021年1月期间12例采用皮肤拉伸装置治疗的头皮缺损患者的临床资料。我们使用EASApprox皮肤拉伸装置治疗头皮缺损。我们描述了这种治疗的详细重建程序。我们收集了伤口的部位、距伤口边缘的距离和其他特征，并记录了拉伸周期数、手术时间、闭合状态、愈合时间，观察术后并发症和伤口愈合情况。
本研究中，头皮缺损主要由压疮引起，主要位于顶枕部。距伤口边缘的平均距离为3.2 cm，术中平均拉伸周期为4.2次，平均手术时间为43.5分钟。10例患者拉伸后直接缝合，2例患者进行一期拉伸以缩小伤口。伤口平均愈合时间为13.5天。术后随访3个月，无患者出现伤口撕裂、坏死，1例患者因营养状况差出现伤口渗出和感染。皮肤功能和最终瘢痕可接受。
皮肤拉伸装置治疗头皮缺损有效，具有操作简便、功能结果可接受、无严重并发症等优点。除传统治疗外，这是一种有前景的治疗方法。然而，还需要对皮肤拉伸装置进行更多的临床和临床前研究。
