Closure of the fibula free flap donor site with the sure-closure(TM) skin-stretching device
Closure of the fibula free flap donor site with the sure-closure(TM) skin-stretching device
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DOI：
10.1097/00005537-199612000-00008
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发表时间：
1996-12-01
期刊：
影响因子：
2.6
通讯作者：
Futran, ND
中科院分区：
文献类型：
--
作者：
Futran, ND
腓骨骨皮肤游离组织转移代表了肿瘤切除后口下颌复合体的最新重建技术。腓骨皮肤桨的宽度通常受限于实现一期伤口闭合的能力。在某些情况下，供体部位需要皮肤移植和随后的外科手术以实现有效闭合或放置组织扩张器。最近开发的索引组织推进系统（Sure Closure（TM））使得可以利用皮肤的粘弹性特性在单个手术中闭合大的伤口缺损。该系统通过使用计量力对合器施加分级压力来固定伤口边缘并将其合在一起。本文报告12例腓骨骨皮瓣游离缺损，均成功地用这种简单、方便、安全的装置闭合。
Fibula osseocutaneous free tissue transfer represents state-of-the-art reconstruction of the oromandibular complex following oncologic resection. The width of the fibula skin paddle is usually limited by the ability to achieve primary wound closure. In some cases the donor site requires skin grafting and subsequent surgical procedures to achieve effective closure, or placement of a tissue expander. The recent development of an indexed tissue advancement system (Sure Closure(TM)) makes it possible to take advantage of the viscoelastic properties of skin to close large wound deficits in a single procedure. The system secures and brings together wound edges by applying graduated pressure with a metered force approximator. A series of 12 fibula osseocutaneous free flap defects is presented, which have been successfully closed using this simple, convenient, and safe device.