Yang J Y, Tsai Y C, Noordhoff M S
Burns Incl Therm Inj. 1985 Dec;12(2):115-21. doi: 10.1016/0305-4179(85)90037-3.
Satisfactory coverage of some deep burn wounds is very difficult. During the past year, 20 de-epithelialized turn-over flaps have been used to cover deep burn wounds in 17 patients. Most of the wounds resulted from electrical injuries which caused exposure of tendons, nerves, bone or joint space. A turn-over flap is a convenient local flap for covering deep burn wounds and reducing morbidity. They adhere well, cause less contracture, and make a good bed for the overlying graft. One disadvantage is that healthy tissue around the wound is not always available; another is questionable tendon gliding. Complications consisted of partial flap necrosis, osteomyelitis and an epithelial cyst. Overall results for the reconstruction of difficult burn wounds were considered exceptionally good.
一些深度烧伤创面很难实现满意的覆盖。在过去一年中，已使用20块去上皮翻转皮瓣覆盖17例患者的深度烧伤创面。大多数创面由电损伤导致，造成肌腱、神经、骨骼或关节腔暴露。翻转皮瓣是用于覆盖深度烧伤创面和降低发病率的便捷局部皮瓣。它们黏附良好，挛缩较少，为覆盖其上的移植物提供了良好的基底。一个缺点是伤口周围的健康组织并非总能获取；另一个缺点是肌腱滑动存在问题。并发症包括部分皮瓣坏死、骨髓炎和上皮囊肿。对于难愈烧伤创面重建的总体结果被认为非常好。
