Hallock G G
Division of Plastic Surgery, Lehigh Valley Hospital, Allentown, PA, USA.
J Burn Care Rehabil. 1995 Nov-Dec;16(6):646-53. doi: 10.1097/00004630-199511000-00015.
Burn wound management usually can be achieved successfully without reliance on any free tissue transfers. This is true partly because tissue expansion techniques for the creation of local flaps have become increasingly versatile and are a simpler alternative when vascularized tissues are required. However, in special circumstances both concepts can be combined to further enhance reconstruction after burn injury. In addition, pretransfer expansion of free flap donor sites has many advantages over posttransfer expansion because not only is immediate primary donor site closure possible, but fabrication of flaps with desired characteristics of size and thickness can be specifically manipulated simultaneously.
烧伤创面处理通常无需依赖任何游离组织移植即可成功实现。部分原因在于，用于构建局部皮瓣的组织扩张技术已变得越来越通用，并且在需要血管化组织时是一种更简单的选择。然而，在特殊情况下，这两种概念可以结合起来，以进一步改善烧伤后的重建效果。此外，游离皮瓣供区的术前扩张比术后扩张具有许多优势，因为不仅可以立即一期闭合供区，而且可以同时专门制作具有所需大小和厚度特征的皮瓣。
