Kahn A M, Cohen M J
Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Burns. 1996 Nov;22(7):552-4. doi: 10.1016/0305-4179(96)88885-1.
Partial-thickness burn injuries frequently heal with pigmentary changes. Occasionally, permanent depigmentation is observed, especially in areas such as the hands, fingers and wrists. This article reports our surgical technique and our success in using it to treat depigmentation after burn injuries. This technique consists of superficial dermabrasion of the depigmented region, followed by transplantation of melanocytes vie epithelial sheet grafts. With this technique, 30 separate surgical procedures have been performed on 21 patients. The follow-up period for these patients has ranged from 2 weeks to 94 months with an average of 17 months. The skin-graft take has been good to excellent in all patients. The colour match has been good or excellent in all but one patient. No complications have been observed. This procedure has consistently and reliably improved the disfigurement from depigmentation in all of the patients we have treated.
浅度烧伤创面常伴有色素沉着改变。偶尔也会出现永久性色素脱失，尤其是在手、手指和手腕等部位。本文报告了我们的手术技术以及运用该技术治疗烧伤后色素脱失的成功经验。该技术包括对色素脱失区域进行浅层磨皮，然后通过上皮片移植黑素细胞。运用此技术，我们对21例患者进行了30次独立的外科手术。这些患者的随访期为2周至94个月，平均为17个月。所有患者的植皮成活率均为良好至优秀。除1例患者外，其余患者的肤色匹配度均为良好或优秀。未观察到并发症。我们所治疗的所有患者，该手术均持续且可靠地改善了色素脱失所致的容貌损毁。
