[扩展板在重建痕缩形严重烧伤后面部和部的临床影响]
1Department of Burns, Tongren Hospital of Wuhan University & Wuhan Third Hospital, Wuhan 430060, China.
Zhonghua shao shang yu chuang mian xiu fu za zhi
|October 8, 2023
概括
扩展的片有效地重建烧伤后面部和部痕收缩. 这种技术恢复功能,改善外观,并实现高患者满意度,使其成为一个有价值的临床选择.
科学领域:
- 整形外科 整形外科 整形外科
- 烧毁重建的重建工作
- 组织扩张 组织扩张
背景情况:
- 广泛的烧伤经常导致面部和子的痕缩形.
- 这些变形的重建在恢复功能和美学方面带来了重大挑战.
- 皮肤和软组织扩张是获得足够的组织重建的潜在方法.
研究的目的:
- 为了研究扩展片在重建面部和部痕缩形变形后广泛烧伤的临床疗效.
- 为了评估功能恢复,美学结果,和患者的满意度后,这个重建的方法.
主要方法:
- 在17名患者 (2016年5月至2022年9月) 进行了回顾性观察性研究,这些患者在严重烧伤后面部/部痕合.
- 两阶段程序,包括插入34种皮肤和软组织扩展剂 (100-600毫升),然后进行痕切除和片重建 (局部,脚,免费).
- 印ocyanine绿色光成像用于膜 perfusion 评估;长期随访包括使用5级利克尔特尺度的功能和美学评估.
主要成果:
- 所有17名患者都成功地进行了扩展器插入和扩张 (4-15个月;238-2000毫升盐水),没有出现重大并发症.
- 片的存活率很高,在2个脚的片中只有轻微的部分亡,成功管理. 其他板完全存活下来.
- 观察到痕缩形的显著改善,8名患者报告"非常令人满意",9名患者报告"相对令人满意"的结果.
结论:
- 从胸部,腹部和其他区域扩展的片,通过局部,脚或自由移植进行利用,有效地重建面部和部痕收缩.
- 这种方法成功地恢复了功能,改善了外观,导致了患者的高满意度.
- 该技术是一个有价值的和可推广的选择,用于临床应用在烧伤后重建.
更多相关视频
19:53Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
105.9K
14:14Quantification of Strain in a Porcine Model of Skin Expansion Using Multi-View Stereo and Isogeometric Kinematics
Published on: April 16, 2017
11.6K
相关概念视频
01:22Burn Injuries
2.5K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.5K
01:19Clinical Applications of Epidermal Stem Cells
2.7K
Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own...
2.7K
01:26Flail Chest-II
187
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
187