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Management of neck contractures by single-stage dermal substitutes and skin grafting in extensive burn patients
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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Surgical Society
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4217261/ https://www.ncbi.nlm.nih.gov/pubmed/25368851 http://dx.doi.org/10.4174/astr.2014.87.5.253 |
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author | Seo, Dong-Kook Kym, Dohern Hur, Jun |
author_facet | Seo, Dong-Kook Kym, Dohern Hur, Jun |
author_sort | Seo, Dong-Kook |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4217261 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | The Korean Surgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-42172612014-11-03 Management of neck contractures by single-stage dermal substitutes and skin grafting in extensive burn patients Seo, Dong-Kook Kym, Dohern Hur, Jun Ann Surg Treat Res Original Article 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. The Korean Surgical Society 2014-11 2014-10-24 /pmc/articles/PMC4217261/ /pubmed/25368851 http://dx.doi.org/10.4174/astr.2014.87.5.253 Text en Copyright © 2014, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/3.0/ Annals of Surgical Treatment and Research is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Seo, Dong-Kook Kym, Dohern Hur, Jun Management of neck contractures by single-stage dermal substitutes and skin grafting in extensive burn patients |
title | Management of neck contractures by single-stage dermal substitutes and skin grafting in extensive burn patients |
title_full | Management of neck contractures by single-stage dermal substitutes and skin grafting in extensive burn patients |
title_fullStr | Management of neck contractures by single-stage dermal substitutes and skin grafting in extensive burn patients |
title_full_unstemmed | Management of neck contractures by single-stage dermal substitutes and skin grafting in extensive burn patients |
title_short | Management of neck contractures by single-stage dermal substitutes and skin grafting in extensive burn patients |
title_sort | management of neck contractures by single-stage dermal substitutes and skin grafting in extensive burn patients |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4217261/ https://www.ncbi.nlm.nih.gov/pubmed/25368851 http://dx.doi.org/10.4174/astr.2014.87.5.253 |
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