Rives J M, Cantaloube D, Ainaud P, Barandon Y, Carsin H
Service de Chirurgie Plastique et de Chirurgie Maxillo-faciale, Hôpital d'Instruction des Armées Percy, Clamart.
Ann Chir Plast Esthet. 1995 Jun;40(3):286-92.
Deep burns of the face raise the problem of skin cover after surgical detersion to limit the serious functional and aesthetic sequelae which they can induce. Autologous cultured epidermal grafts currently occupy an important place in the surgical treatment of the early phases of facial burns. The authors present their preliminary results of the use of this graft technique in patients with burns of more than 60% of the body surface, including the face. The surgical protocol is described, consisting of surgical detersion with benzoic acid, grafting and specific dressings. Three patients treated by this technique are then presented before concluding on the very interesting prospects of autologous culture epidermal grafts on a fibrin substrate. A clinical case of facial burns treated by this new type of graft is presented to conclude the discussion.
面部深度烧伤引发了手术清创后皮肤覆盖的问题，以限制其可能导致的严重功能和美学后遗症。自体培养表皮移植目前在面部烧伤早期的手术治疗中占据重要地位。作者展示了在包括面部在内的体表面积超过60%的烧伤患者中使用这种移植技术的初步结果。描述了手术方案，包括用苯甲酸进行手术清创、移植和特殊敷料。然后介绍了三名接受该技术治疗的患者，最后总结了纤维蛋白基质上自体培养表皮移植非常有前景的展望。最后展示了一例采用这种新型移植治疗的面部烧伤临床病例，以结束讨论。
