Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15261, USA.
Department of Plastic and Reconstructive Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Clin Plast Surg. 2024 Apr;51(2):241-254. doi: 10.1016/j.cps.2023.12.001.
Coverage of burn wounds is crucial to prevent sequalae including dehydration, wound infection, sepsis, shock, scarring, and contracture. To this end, numerous temporary and permanent options for coverage of burn wounds have been described. Temporary options for burn coverage include synthetic dressings, allografts, and xenografts. Permanent burn coverage can be achieved through skin substitutes, cultured epithelial autograft, ReCell, amnion, and autografting. Here, we aim to summarize the available options for burn coverage, as well as important considerations that must be made when choosing the best reconstructive option for a particular patient.
烧伤创面的覆盖对于预防包括脱水、创面感染、败血症、休克、瘢痕和挛缩在内的后遗症至关重要。为此,已经描述了许多用于覆盖烧伤创面的临时和永久性选择。临时的烧伤覆盖选择包括合成敷料、同种异体移植物和异种移植物。永久性烧伤覆盖可以通过皮肤替代品、培养的上皮自体移植物、ReCell、羊膜和自体移植来实现。在这里,我们旨在总结烧伤覆盖的可用选择,以及在为特定患者选择最佳重建选择时必须考虑的重要因素。