Lin T W
Burn Institute, Department of Surgery, National Taiwan University Hospital, Taipei.
Burns. 1995 Aug;21(5):374-8. doi: 10.1016/0305-4179(94)00018-2.
Although microskin grafting has been used successfully to treat major burns, when the donor skin areas are inadequate, it is still not in popular use because of the difficulties of mincing and floating procedures. Floating is expected to produce more microskin patches with the dermal side upwards than with the epidermal side upwards. Another problem is that many microskin patches will be lost in the container during floating. This problem may be solved by preparing the microskin from the second layer scalp skin. This will be a graft of hair follicle cells, which can be sowed on the wound no matter which side is upwards. Grafting was carried out on well-prepared granulation beds, or on the fat surface after tangential excision, or on the bed after fascial excision of the burn. Allograft and Biobrane were used as cover dressings. The combination of fascial excision and allograft overlay gave an acceptable result. This can be an alternative method of skin grafting for burns with very limited donor skin areas when the scalp skin is not burned.
尽管微粒皮移植已成功用于治疗大面积烧伤，但当供皮区不足时，由于切碎和漂浮操作的困难，它仍未得到广泛应用。预计漂浮时产生的微粒皮片真皮面朝上的比表皮面朝上的更多。另一个问题是，许多微粒皮片在漂浮过程中会在容器中丢失。这个问题可以通过使用头皮第二层皮肤制备微粒皮来解决。这将是一种毛囊细胞移植，无论哪一面朝上都可以播种在伤口上。移植在精心准备的肉芽床上进行，或在削痂后的脂肪面上进行，或在烧伤筋膜切除后的创面上进行。同种异体皮和生物敷料用作覆盖敷料。筋膜切除和同种异体皮覆盖相结合取得了可接受的效果。当头皮未烧伤时，对于供皮区非常有限的烧伤，这可以作为一种替代的皮肤移植方法。
