Clinical Appearance of Full‐Thickness Skin Grafts of the Nose
Clinical Appearance of Full‐Thickness Skin Grafts of the Nose
复制标题
鼻子全层皮片的临床表现
DOI：
10.1111/j.1524-4725.2005.31032
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发表时间：
2005
影响因子：
2.4
通讯作者：
L. Goldberg
中科院分区：
文献类型：
--
作者：
Sirunya Silapunt;S. RAY PETERSON;Murad Alam;L. Goldberg
背景：全厚皮片移植(FTSG)是修复鼻部缺损的一种选择。目的探讨供体部位、缺损区位置、缺损区大小对鼻部FTSG移植效果的影响。方法选择Mohs显微外科手术后鼻部FTSG的患者。进行了临床和摄影评估。结果共54个FTSG，平均年龄20.6月龄，平均大小2.1cm2。不同供区的临床评估得分有显著差异，其中狗耳皮肤效果最好，其次分别是耳甲碗皮肤、耳前皮肤、耳后皮肤和手臂内侧皮肤(p=0.006)。根据临床评估评分确定的总体临床结果对手臂内侧皮肤很好，对其他部位很好。不同供区的照相评估得分没有差异(p=.601)。缺陷的位置和大小与临床和照片评估的临床结果没有相关性(p>；.05)。结论应考虑所有可能的供体部位，选择最匹配缺损区的供体部位。
BACKGROUND Full-thickness skin grafting (FTSG) is an option for reconstruction of nasal defects. OBJECTIVE To correlate the clinical outcome of FTSG on the nose with donor site, location of the defect, and defect size. METHODS Patients with FTSG on the nose following Mohs' micrographic surgery were enrolled. Clinical and photographic assessments were performed. RESULTS There were 54 FTSGs; the mean age was 20.6 months, and the average size was 2.1 cm2. The clinical assessment score was significantly different across donor sites, with dog-ear skin providing the best results, followed, respectively, by conchal bowl, preauricular, postauricular, and inner arm skin (p= .006). The global clinical outcome determined from the clinical assessment score was good for inner arm skin and excellent for other sites. The photographic assessment score was not different among donor sites (p= .601). There was no correlation of location and size of the defect to the clinical outcome assessed clinically and photographically (p > .05). CONCLUSION All potential donor sites should be considered to select the donor site that best matches the defect.