Casanova D, Bardot J, Magalon G
Service de Chirurgie Plastique et Reconstructrice, Marseille, France.
Ann Chir Plast Esthet. 1996 Oct;41(5):481-94.
The indications for skin expansion in the limbs are now well defined. This technique is particularly irreplaceable below the knee, and allows the resection of very large lesions despite a minimal skin capital. More than in other sites, it is a difficult technique which requires rigour and a sound basis in reconstructive surgery. The operative plan must include precise assessment of the tissue gain with selection of prostheses adapted to local conditions. The techniques of insertion, filling and resection must be irreproachable. The functional and aesthetic indications are numerous and the technique often provides a minimal residual scar.
肢体皮肤扩张术的适应证现已明确。该技术在膝关节以下尤为不可替代，即使皮肤资源有限，也能切除非常大的病变。与其他部位相比，这是一项困难的技术，需要严谨的态度和扎实的重建外科基础。手术方案必须包括对组织增量的精确评估，以及选择适合局部情况的假体。置入、注水和切除技术必须无可挑剔。其功能和美学适应证众多，且该技术通常能留下最小的残余瘢痕。
