Repair of deep tissue defects in the posterior talocrural region using a superficial temporal fascia free flap plus thin split-skin grafting in extensively burned patients: A retrospective case series.
Repair of deep tissue defects in the posterior talocrural region using a superficial temporal fascia free flap plus thin split-skin grafting in extensively burned patients: A retrospective case series.
复制标题
颞浅筋膜游离皮瓣联合薄裂皮移植修复大面积烧伤患者距骨后部深部组织缺损回顾性病例系列
DOI：
10.1097/md.0000000000009250
复制
发表时间：
2018-01
期刊：
影响因子：
1.6
通讯作者：
Hu D
中科院分区：
文献类型：
--
作者：
Yang X;Zhao H;Liu M;Zhang Y;Chen Q;Li Z;Han J;Hu D
目的探讨颞浅筋膜游离皮瓣结合薄皮片移植早期修复大面积烧伤患者距小腿后部深度创面的方案、手术方法和临床效果。2013年1月至2016年2月，我科收治9例大面积烧伤伴距小腿后部深部组织缺损患者（2例患者双侧距小腿后部深部组织缺损）。所有11例创面均采用颞浅筋膜游离皮瓣和薄皮片移植修复。术后观察筋膜瓣及移植皮片成活情况，评价移植皮片外观及功能恢复情况。对随访信息进行了审查，并记录了并发症。11例筋膜瓣全部成活。2例局部皮肤坏死经二次植皮后愈合。术后随访5 ~ 14个月，受区外观及功能恢复良好。颞浅筋膜游离皮瓣结合薄皮片移植可有效修复距小腿后部的深部组织缺损。该方法具有外形美观、抗感染能力强、供区损伤小、病程短、预后好等优点。
The aim of this study was to describe the scheme, surgical procedures, and clinical outcomes for the early repair of deep wounds of the posterior talocrural region in extensively burned patients with a method combining a superficial temporal fascia free flap with thin split-skin grafting. From January 2013 to February 2016, 9 extensively burned patients with deep tissue defects of the posterior talocrural region were treated in our department (2 patients had bilateral deep tissue defects of the posterior talocrural region). All 11 wounds were repaired using a superficial temporal fascia free flap and thin split-skin grafting. After the operation, survival of the fascia flaps and grafted skin was observed, and the appearance and functional recovery of the grafts were evaluated. Follow-up information was reviewed, and complications were documented. All 11 fascia flaps survived completely. Two cases of partial skin necrosis healed after the second application of skin grafts. The appearance and function of recipient sites were well restored in all patients over a follow-up period of 5 to 14 months. Deep tissue defects of the posterior talocrural region can be effectively repaired with our method combining a superficial temporal fascia free flap with thin split-skin grafting. This method offers the advantages of a good appearance, strong resistance to infection, minimal damage at the donor site, short course of disease, and good prognosis.