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얕은 지방층을 포함한 피부복합조직이식을 이용한 손화상 반흔구축의 교정

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Author(s)
손대구정회준최태현김준형한기환Daegu SonHoijoon JeongTaehyun ChoiJunhyung KimKihwan Han
Keimyung Author(s)
Son, Dae GuChoi, Tae HyunKim, Jun HyungHan, Ki Hwan
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
대한성형외과학회지
Issued Date
2008
Volume
35
Issue
6
Abstract
PURPOSE: Split or full thickness skin graft is generally used to reconstruct the palmar skin and soft tissue defect after release of burn scar flexion contracture of hand. As a way to overcome and improve aesthetic and functional problems, the authors used the preserved superficial fat skin(PSFS) composite graft for correction of burn scar contracture of hand. METHODS: From December of 2001 to July of 2007, thirty patients with burn scar contracture of hand were corrected. The palmar skin and soft tissue defect after release of burn scar contracture was reconstructed with the PSFS composite graft harvested from medial foot or below lateral and medial malleolus, with a preserved superficial fat layer. To promote take of the PSFS composite graft, a foam and polyurethane film dressing was used to maintain the moisture environment and Kirschner wire was inserted for immobilization. Before and after the surgery, a range of motion was measured by graduator. Using a chromameter, skin color difference between the PSFS composite graft and surrounding normal skin was measured and compared with full thickness skin graft from groin. RESULTS: In all cases, the PSFS composite graft was well taken without necrosis, although the graft was as big as 330mm2(mean 150mm2). Contracture of hand was completely corrected without recurrence. The PSFS composite graft showed more correlations and harmonies with surrounding normal skin and less pigmentation than full thickness skin graft. Donor site scar was also obscure. CONCLUSION: The PSFS composite graft should be considered as a useful option for correction of burn scar flexion contracture of hand.
Alternative Title
Preserved Superficial Fat Skin Composite Graft for Correction of Burn Scar Contracture of Hand
Keimyung Author(s)(Kor)
손대구
최태현
김준형
한기환
Publisher
School of Medicine
Citation
손대구 et al. (2008). 얕은 지방층을 포함한 피부복합조직이식을 이용한 손화상 반흔구축의 교정. 대한성형외과학회지, 35(6), 716–722.
Type
Article
ISSN
1015-6402
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39311
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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