Summers B K, Siegle R J
Department of Otolaryngology, Ohio State University, Columbus 43210.
J Am Acad Dermatol. 1993 Nov;29(5 Pt 1):669-81; quiz 682-3. doi: 10.1016/0190-9622(93)70230-q.
The performance of cutaneous reconstructive surgery requires understanding and application of many important principles. This article reviews the critical factors to consider in the management of surgical wounds by second-intention healing, primary closure, skin grafting, and repair with local flaps. For certain defects, reconstruction with local flaps offers several advantages over other alternatives. Key concepts useful in flap choice and implementation are discussed, and surgical techniques that maximize the aesthetic outcome of reconstructive surgery are reviewed.
皮肤重建手术的实施需要理解并应用许多重要原则。本文回顾了在通过二期愈合、一期缝合、皮肤移植以及局部皮瓣修复处理手术伤口时需考虑的关键因素。对于某些缺损，与其他方法相比，局部皮瓣重建具有若干优势。文中讨论了皮瓣选择和应用中有用的关键概念，并回顾了能使重建手术美学效果最大化的手术技巧。
