Steinberg M J, Hohn F I
Section Oral and Maxillofacial Surgery, Loyola University Medical Center, Maywood 60153.
J Oral Maxillofac Surg. 1994 Aug;52(8):813-6. doi: 10.1016/0278-2391(94)90225-9.
To report on two cosmetically advantageous sites for the harvesting of dermal grafts. The traditional method of dermal graft harvest using a dermatome may leave an unsightly defect.
Thirty-eight dermal grafts were harvested from either the inguinal fold or the suprapubic region. A freehand harvesting technique was used. The patients were all female and were having concurrent temporomandibular joint procedures. The donor sites were monitored for cosmetic result, patient satisfaction, and complications.
All donor site wounds were determined to be cosmetically acceptable. The scars were well placed in anatomic skin folds. One complication, a seroma, was reported.
Freehand graft harvest with primary closure provides an acceptable defect. The use of this technique in anatomically advantageous areas successfully conceals the resultant scar for heightened cosmesis.
报告两个在美容方面有利于获取真皮移植物的部位。使用取皮刀获取真皮移植物的传统方法可能会留下不美观的缺损。
从腹股沟皱襞或耻骨上区域获取38块真皮移植物。采用徒手获取技术。所有患者均为女性，且同时进行颞下颌关节手术。对供区的美容效果、患者满意度及并发症进行监测。
所有供区伤口在美容方面均被判定为可接受。瘢痕位于解剖学皮肤褶皱处，位置良好。报告了1例并发症，即血清肿。
徒手获取移植物并一期缝合可产生可接受的缺损。在解剖学上有利的区域使用该技术可成功隐藏由此产生的瘢痕，从而提高美容效果。
