Joint application of artificial dermis and autologous split thickness skin graft in scar plastic surgery

VernacularTitle:人工真皮联合自体刃厚皮片移植治疗瘢痕的临床效果
Author: Li YANG ; Qiaohong HUANG ; Xiaoping ZHU ; Xianzhao GUO
Keywords: Scar; Artificial dermis; Deformity; Thick edge
From: Chinese Journal of Medical Aesthetics and Cosmetology 2017;23(3):181-183
CountryChina
Language:Chinese
Abstract: Objective To observe the clinical effects of dermis combined autologous transplants in patients with abnormal scar thickness skin graft.Methods 13 cases of scar deformity were selected during August 2011 to December 2014 in our hospital.In stage 1 procedure,the scars that affected the function and induced deformities were resected and then the artificial dermis covering the wound was placed;in stage 2,two weeks after the artificial dermis vascularization,autologous skin grafts were removed to repair the wound edge.Meanwhile,therapy of inhibiting scar after conventional treatment was conducted with funcitional exercise.Results 13 cases were scheduled to repair scar wounds,underwent surgery with more than 6 months follow-up observation.The dysfunctions caused by scar contracture and deformity were significantly improved;appearance,elasticity and appearance of the skin grafts were similar to autologous skin graft with the desired clinical effect.Conclusions Artificial dermis combined autologous skin graft treatment of patients with scar deformity can achieve similar clinical effects to traditional treatment methods.