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논문 기본 정보

자료유형
학술저널
저자정보
Dong-Kook Seo (Hallym University Hangang Sacred Heart Hospital) Dohern Kym (Hallym University Hangang Sacred Heart Hospital) Jun Hur (Hallym University Hangang Sacred Heart Hospital)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.87 No.5
발행연도
2014.10
수록면
253 - 259 (7page)

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초록· 키워드

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Purpose: Severe neck contracture is a problem that must be resolved by priority. We consider the best contracture treatment to be the full-thickness skin graft. However, clinicians often encounter patients, especially extensive burn patients, who have insufficient donor sites for the full-thickness skin graft. We treated extensive burn patients with neck scar contractures with a split-thickness skin graft (STSG) combined with dermal substitutes. The purpose of this study was to evaluate clinical outcomes of neck contracture treatment in extensive burn patients performing STSG with dermal substitutes as adjuvant treatment.
Methods: We analyzed the retrospective clinical and photographic records of 28 patients with severe neck contracture who were admitted to Hallym University Hangang Sacred Heart Hospital, Seoul, Korea, from January 2012 to December 2012. We performed STSG in combination with dermal substitutes to minimize the degree of contracture.
Results: The overall take rate of skin to dermal substitutes was 95.9%, and no grafts failed to affect recontracture except in one patient with a partial loss of artificial dermis who underwent a follow-up skin graft without any problems. Excellent/good outcomes were shown in 27 out of 28 patients.
Conclusion: In extensive burn patients, skin grafting in combination with dermal substitutes can be an alternative to STSG alone for contracture release.

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UCI(KEPA) : I410-ECN-0101-2015-510-002852159