요측전완유리피판 결손 부위의 피부 이식에 관한 비교 연구 (Comparison of Skin Graft for the Defect of the Radial Forearm Free Flap)

서지정보

· 발행기관 : 대한이비인후과학회
· 수록지 정보 : 대한이비인후-두경부외과학회지 / 62권 / 9호 / 515 ~ 519페이지
· 저자명 : 이준규, 윤성호, 강태구, 김재구, 김희영, 임혜린, 정세현, 박경석

초록

Background and Objectives This study compared two types of skin graft reconstructionfor the defect of the radial forearm free flap.
Subjects and Method Ten cases of split-thickness skin graft (STSG) harvested from thethigh were analyzed. Also, ten cases of full-thickness skin graft (FTSG) harvest from the inguinalarea applied with vacuum-assisted closure (VAC) system were analyzed.
Results The defect size of the radial forearm was increased more in the STSG group than inthe FTSG group (p＜0.05). Skin grafts were recovered completely sooner in the FTSG groupthan in the STSG group although it was not statistically significant (p=0.082). Five complications(pruritus, hypertrophic scar) were found in the donor site in the STSG group (p＜0.05).
FTSG gave better scores according to the Vancouver Scar Scale in terms of pigmentation, pliability,and height (p＜0.05).
Conclusion FTSG harvested from the inguinal area with the application of VAC system hasmany advantages for the defect of the radial forearm free flap although it is usually used forsmaller size defects than for STSGs.

영어초록

Background and Objectives This study compared two types of skin graft reconstructionfor the defect of the radial forearm free flap.
Subjects and Method Ten cases of split-thickness skin graft (STSG) harvested from thethigh were analyzed. Also, ten cases of full-thickness skin graft (FTSG) harvest from the inguinalarea applied with vacuum-assisted closure (VAC) system were analyzed.
Results The defect size of the radial forearm was increased more in the STSG group than inthe FTSG group (p＜0.05). Skin grafts were recovered completely sooner in the FTSG groupthan in the STSG group although it was not statistically significant (p=0.082). Five complications(pruritus, hypertrophic scar) were found in the donor site in the STSG group (p＜0.05).
FTSG gave better scores according to the Vancouver Scar Scale in terms of pigmentation, pliability,and height (p＜0.05).
Conclusion FTSG harvested from the inguinal area with the application of VAC system hasmany advantages for the defect of the radial forearm free flap although it is usually used forsmaller size defects than for STSGs.

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