Medium and small area deep burn wounds consistent with function and aesthetics required skin grafting.doc

 PAGE \* MERGEFORMAT 17 Medium and small area deep burn wounds consistent with function and aesthetics required skin grafting 【Abstract】 Objective: To explore the face and neck, the small area deep burn more in line with human skin function and aesthetics required skin grafting techniques. Methods: Skin wound by cutting a shallow crust, cut scab law, as much as possible to retain the normal wound subcutaneous tissue, close to stop bleeding. with low concentrations of adrenaline saline solution for subcutaneous injection of swelling of the skin area, get skin drum machines, electric machines or roller to take skin incision knife to take thick 0.2 ~ 0.6 mm large sheet of thick skin fault; free skin graft major axis perpendicular to the longitudinal axis of affected areas not open holes transplant. skin and wound edge, skin graft and skin graft 3  0 silk suture tight, properly dressed, braking. Results: The improvement of skin grafting in patients with a total of 592 cases of by area of 1% to 30% [mean (11.2 ?? 2.7)%] TBSA. All patients were skin graft survival rate of “95%, 100% skin graft survival rate were 91.9% (544/592), follow-up 1 a the above evaluation, by the District, skin fullness, texture soft, smooth, no obvious scar, limb and joint activities freely, mild pigmentation, for skin area slightly rough surface, compared with normal skin, pigmentation is not obvious. Conclusion: strengthening of wound management , improvement and proficiency in taking skin technology, choose a suitable donor, medium and small area deep burn with large sheet of thick and thin in the thick-thickness skin graft is not open holes for the skin area and repair parts are obtaining more satisfactory function and cosmetic effect. 【Key Words】 Burn; skin graft; function; Aesthetics 0 Introduction The skin is not only a function of a complex organ, but also the most eye-catching aesthetic organs, reflecting the beauty of the human body the first to observe th