"Flypaper technique" a modified expansion method for preparation of postage stamp autografts
"Flypaper technique" a modified expansion method for preparation of postage stamp autografts
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DOI：
10.1016/j.burns.2005.04.001
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发表时间：
2005-09-01
期刊：
影响因子：
2.7
通讯作者：
Lai, CS
中科院分区：
文献类型：
--
作者：
Lee, SS;Lin, TM;Lai, CS
治疗大面积烧伤的金标准是早期切除、临时同种异体移植和最终自体移植。然而，在自体移植治疗大面积烧伤时，“缺乏供体皮肤”是一个挑战。设计一种高效且易于应用的扩张方法可以提高烧伤护理质量并缩短住院时间。从1998年12月到2004年5月，我们在高雄医学大学附设医院为8名严重烧伤患者进行了飞纸技术邮票皮肤自移植术。通过使用快速切割板、棋盘托盘和凡士林纱布，可以将皮肤岛均匀地定位并正确定向在纱布上。然后，将带有皮岛的纱布移植到伤口上。伤口愈合时间取决于皮岛的大小和扩张率。这种方法允许真实膨胀比高达九倍。六次扩张的平均伤口愈合时间为27.2天，九次扩张的平均伤口愈合时间为34天。然而，烧伤疤痕需要进一步加压治疗以改善美容效果。与网状技术相比，皮肤岛彼此独立，皮肤岛的任何移位都不会干扰周围的皮肤方格。与改良的 Meek 技术相比，该方法还可以快速使伤口重新上皮，但成本较低。这种捕蝇纸技术在处理大面积烧伤时值得考虑。 (c) 2005 年爱思唯尔有限公司和 ISBI。版权所有。
The gold standard for management of extensive burn has been early excision, temporary allografting and final autograffing. However, "lack of donor skin" is a challenge condition when autograffing in the treatment of extensive burns. Designing an efficient and easy to apply expansion method may improve burn care quality and shorten the hospital stay period.From December 1998 to May 2004, we have performed fly paper technique postage stamp skin autograffing for eight major burn patients in the Kaohsiung Medical University Hospital. By using a quick cutting plate, chessboard tray and petrolatum gauze, the skin islands can be uniformly located and correctly oriented on gauze. Then, the gauze with skin islands was grafted on to the wound.The wound healing time depends on the size of skin islands and expansion ratio. This method allows true expansion ratio up to nine times. The average wound healing times are 27.2 days for six times expansion and 34 days for nine times expansion. However, the burn scar needs further compression therapy to improve the cosmetic result.In comparison with the mesh technique, the skin islands are independent of each other, any dislodgement of a skin island will not interfere with the surrounding skin squares. When compared with the modified Meek technique, this method also offers rapid wound reepithilization but with lower cost. This flypaper technique is worthy of consideration in dealing with the extensive burns. (c) 2005 Elsevier Ltd and ISBI. All rights reserved.