Langtry J A, Kirkham P, Martin I C, Fordyce A
Department of Dermatology, Sunderland Royal Hospital, United Kingdom.
Dermatol Surg. 1998 Dec;24(12):1350-3. doi: 10.1111/j.1524-4725.1998.tb00013.x.
The accepted method for securing full thickness skin grafts (FTSG) is with a tie-over bolster dressing, with or without basting sutures. We question the need for tie-over bolster dressings for small FTSGs.
We describe our method of FTSG reconstruction and the outcome in a consecutive series.
Thirty patients with surgical defects following tumour excision from the face24, scalp1, ear2, and finger3 ranging in diameter from 8 to 45 mm (mean 20 mm) were reconstructed with a FTSG. Interrupted monofilament nylon perimeter sutures only were used, with antibiotic ointment at the wound edge with either a light dressing or no dressing.
A series of 30 FTSG secured without a tie-over bolster dressing or basting sutures is described, all with good to excellent long term results. In two cases there was early superficial necrosis of the graft, but ultimately 100% graft take.
We have found tie-over bolster dressings and basting sutures to be unnecessary in our series of small FTSG. This technique saves time and material and minimizes handling of the graft.
固定全厚皮片（FTSG）的公认方法是使用包扎敷料，有无间断缝合均可。我们质疑小面积FTSG是否需要包扎敷料。
我们描述了FTSG重建的方法及一系列连续病例的结果。
30例患者因面部24处、头皮1处、耳部2处和手指3处肿瘤切除后出现手术缺损，缺损直径8至45毫米（平均20毫米），采用FTSG进行重建。仅使用间断单丝尼龙周边缝线，伤口边缘涂抹抗生素软膏，采用轻薄敷料或不使用敷料。
描述了一系列30例未使用包扎敷料或间断缝合固定的FTSG，所有病例长期效果均良好至极佳。2例出现早期皮片浅表坏死，但最终皮片完全成活。
在我们的小面积FTSG系列病例中，我们发现包扎敷料和间断缝合并无必要。该技术节省时间和材料，并减少了对皮片的操作。
