Saijo Yusaku, Cho Hoyu, Mitsuwa Hideyuki, Ogawa Rei
From the Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, Tokyo, Japan.
Plast Reconstr Surg Glob Open. 2024 Aug 1;12(8):e6018. doi: 10.1097/GOX.0000000000006018. eCollection 2024 Aug.
Tie-over bolster fixation is the most common method of securing a skin graft. The bolster material can consist of various materials, including sterilized polyurethane foam. Mepilex Ag is a silver-containing polyurethane-foam wound-dressing material that has a broad-spectrum antibiotic effect. The use of a silver-containing polyurethane foam as bolster material in tie-over bolster fixation has not been reported previously. We report here our method of a multilayered silver-containing polyurethane-foam tie-over bolster fixation and its outcomes when used during reconstruction of a relatively small skin defect on the nasal dorsum with a full-thickness skin graft. The skin graft was completely viable, and there were no complications such as infection, hematoma, or necrosis.
打包加压固定是固定皮肤移植片最常用的方法。支撑材料可以由多种材料组成，包括灭菌聚氨酯泡沫。美皮康银是一种含银的聚氨酯泡沫伤口敷料材料，具有广谱抗菌作用。此前尚未有关于在打包加压固定中使用含银聚氨酯泡沫作为支撑材料的报道。我们在此报告一种多层含银聚氨酯泡沫打包加压固定方法及其在使用全厚皮片修复鼻背部相对较小皮肤缺损时的效果。皮肤移植片完全存活，未出现感染、血肿或坏死等并发症。
