Langstein H N, Zide B M
Institute of Reconstructive Plastic Surgery, New York University Medical Center, N.Y., USA.
Plast Reconstr Surg. 1997 Feb;99(2):556-8. doi: 10.1097/00006534-199702000-00040.
A variety of materials have been used as template materials to aid in the design of local facial flaps. The biggest criticism of these materials is that they do not conform sufficiently to complex defects. This report describes the use of a hydrogel sheet wound dressing (ClearSite, NDM, Akron, Ohio) as a template material. ClearSite appears to make an ideal template material because it is thin, pliable, transparent, and inexpensive. This gel template adequately conforms to irregular three-dimensional shapes. It has the added beneficial ability to "lift" marking pen lines, which can then be transferred as an exact replica of the defect size. A case is presented in which a ClearSite template directed the transfer of the exact amount of forehead tissue following excision of a complex congenital nevus of the nose. Use of the ClearSite template seems well suited to help in local facial flaps and is likely to simplify the design of many distant flaps as well.
多种材料已被用作模板材料，以辅助局部面部皮瓣的设计。对这些材料最大的批评是它们不能充分贴合复杂的缺损。本报告描述了使用一种水凝胶片伤口敷料（ClearSite，NDM，俄亥俄州阿克伦市）作为模板材料。ClearSite似乎是一种理想的模板材料，因为它薄、柔韧、透明且价格低廉。这种凝胶模板能充分贴合不规则的三维形状。它还有额外的有益功能，即能“提起”标记笔线条，然后这些线条可以作为缺损大小的精确复制品被转移。本文介绍了一个病例，在该病例中，一个ClearSite模板指导了在切除复杂的鼻部先天性痣后精确量的额部组织的转移。使用ClearSite模板似乎非常适合辅助局部面部皮瓣，并且也可能简化许多远位皮瓣的设计。
