Treating Giant Congenital Nevus With Integra Dermal Regeneration Template in a 9-Year-Old Girl
Treating Giant Congenital Nevus With Integra Dermal Regeneration Template in a 9-Year-Old Girl
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DOI：
10.1177/1534734617702259
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发表时间：
2017-06-01
影响因子：
1.7
通讯作者：
Bacalja, Vedran
中科院分区：
文献类型：
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作者：
Barcot, Zoran;Inga, Dakovic Bacalja;Bacalja, Vedran
Integra真皮再生模板在治疗深度大面积烧伤方面已得到很好的应用，但在治疗大面积全层皮肤缺损（如巨大痣）方面的病例报道很少。除了心理和美容的负担，巨大的先天性痣进行恶性改变的风险增加。我们提出的情况下，9岁的女孩与一个巨大的先天性痣在她的左小腿。进行了全切除，并使用Integra（LifeSciences Corp，Plainsboro，NJ）成功治疗。三周后，在新真皮层上应用薄的劈裂皮肤移植物。起飞率为91%。用银伤口敷料保护，伤口的其余部分愈合了。供区的发病率是最低的，最终的结果是极好的美学和功能方面。
Integra dermal regeneration template has been well established in treating deep extensive burns, but there are very few cases reported of treating large full-thickness skin defects such as giant nevi. Apart from psychological and cosmetic burdens, the giant congenital nevus carries increased risk of malignant alteration. We present the case of a 9-year-old girl with a giant congenital nevus on her left lower leg. A total excision was done and she was successfully treated with Integra (LifeSciences Corp, Plainsboro, NJ). Three weeks later, a thin split-skin graft was applied over the neodermal skin layer. The takeoff was 91%. Protected with the silver wound dressing, the rest of the wound healed. A donor site morbidity was minimal, and the final result was excellent both in aesthetic and functional aspects.