Chrétien-Marquet B, Benaceur S, Cerceau M, Fernandez R, Saouma S, Murthy J
Department of Plastic and Reconstructive Surgery, Hôpital Necker Enfants Malades, Paris, France.
Plast Reconstr Surg. 1994 Feb;93(2):337-44. doi: 10.1097/00006534-199402000-00018.
This paper presents a new method of reconstruction of a large skin defect, e.g., following excision of a giant pigmented nevus. By taking advantage of the flexibility of the joints and the extensibility of skin in the children, the large defects were closed in one stage by an enforced position that allows an easy closure of the wound. The scar was protected against stretching for 6 weeks to obtain sufficient strength. Later, free movements across the joints were permitted to allow gradual tension to the skin surrounding the scar. The final result is a permanent gain of the tissue replacing the defect.
本文介绍了一种重建大面积皮肤缺损的新方法，例如在切除巨大色素痣之后。利用儿童关节的灵活性和皮肤的延展性，通过强制体位在一期闭合大面积缺损，使得伤口易于闭合。对瘢痕进行6周的防拉伸保护以获得足够强度。之后，允许关节进行自由活动，使瘢痕周围皮肤逐渐承受张力。最终结果是永久性地获得了替代缺损的组织。
