Voinchet V, Magalon G
Service de Chirurgie Plastique et Reconstructrice, Hôpital de la Conception, Marseille.
Ann Chir Plast Esthet. 1996 Oct;41(5):563-71.
The repair of defects by skin extension involves various procedures which are thoroughly described by the author. Skin extension is an original concept reflecting the viscoelastic properties of the skin and histological changes. It is based on 3 phenomena: "mechanical creep", "stress relaxation" and mobility of the skin. Although the various skin extension procedures present many advantages concerning the application and removal of the device, the conduct and monitoring of treatment as well as closure of the defect, its disadvantages must not be ignored. They are related to the material and to local conditions. The indications for skin extension are fairly wide. However, its ideal indication consists of closure of skin defects with loss of skin capital.
通过皮肤扩张修复缺损涉及多种手术步骤,作者已对此进行了详尽描述。皮肤扩张是一个反映皮肤粘弹性特性及组织学变化的原创概念。它基于三种现象:“机械蠕变”、“应力松弛”和皮肤的可移动性。尽管各种皮肤扩张手术在器械的应用与移除、治疗的实施与监测以及缺损的闭合方面具有诸多优势,但其缺点也不容忽视。这些缺点与材料及局部情况有关。皮肤扩张的适应证相当广泛。然而,其理想的适应证是修复伴有皮肤组织缺失的皮肤缺损。