AN ALTERNATIVE METHOD OF SKIN-GRAFTING - THE SCALP MICRODERMIS GRAFT

被引:6
作者
LIN, TW [1 ]
机构
[1] NATL TAIWAN UNIV HOSP,DEPT SURG,INST BURN,TAIPEI 100,TAIWAN
关键词
D O I
10.1016/0305-4179(94)00018-2
中图分类号
R4 [临床医学];
学科分类号
1002 [临床医学]; 100602 [中西医结合临床];
摘要
Although microskin grafting has been used successfully to treat major burn(1-3), when the donor skin areas are inadequate, ii is still not in popular use because of the difficulties of mincing and floating procedures. Floating is expected to produce move microskin patches with the dermal side upwards than with the epidermal side upwards. Another problem is that many microskin patches will be lost in the container during floating. This problem may be solved by preparing the microskin from the second layer scalp skin. This will be a graft of hair follicle cells, which can be sowed an the wound no mailer which side is upwards. Grafting was carried out on well-prepared granulation beds, or on the fat surface after tangential excision, or on the bed after fascial excision of the burn. Allograft and Biobrane were used as cover dressings. The combination of fascial excision and allograft overlay gave an acceptable result. This can be an alternative method of skin grafting for burns with very limited donor skin areas when the scalp skin is not burned.
引用
收藏
页码:374 / 378
页数:5
相关论文
共 11 条
[1]
Zhang, Chang, Han, Et al., Microskin grafting: I. Animal experiments, Burns, 12, pp. 540-543, (1986)
[2]
Zhang, Wang, Chang, Et al., Microskin grafting: II. Clinical report, Burns, 12, pp. 544-548, (1986)
[3]
Zhang, Chang, Wang, Et al., Microskin grafting in the treatment of extensive burns: a preliminary report, J Trauma, 28, pp. 804-807, (1988)
[4]
Green, Kehinde, Thomas, Growth of cultured human epidermal cells into multiple epithelia suitable for grafting, Proc Natl Acad Sci USA, 76, pp. 5665-5668, (1979)
[5]
Nystrom, Sowing of small skin graft particles as a method of epithelization especially of extensive wound surfaces, Plast Reconstr Surg, 23, pp. 226-239, (1959)
[6]
Lin, A new method of microskin mincing, Burns, 20, pp. 526-528, (1994)
[7]
Lin, Chen, Experience of second layer split thickness skin graft taken from extensively avulsed scalp: a case report, J Surg Assoc ROC, 3, pp. 220-223, (1980)
[8]
Moore, Madri, Carlson, Et al., Collagen facilitates epithelial migration in restitution of native guinea pig intestinal epithelium, Gastroenterology, 102, pp. 119-130, (1992)
[9]
Cameron, Skubitz, Furcht, Type IV collagen and corneal epithelial adhesion and migration, Inv Ophth Vis Sci, 32, pp. 2766-2773, (1991)
[10]
Yang, Shih, Chu, Et al., The intermingled transplantation of auto- and homografts in severe burns, Burns, 6, pp. 141-145, (1979)