RESUMO
Our experience with CEA is based on 21 patients operated on from 1986 to 1991. The areas covered with CEA measured 500 cm2 to 3160 cm2. At one setting no more than 40 sheets of 40 cm2 CEA have been transplanted. The take of CEA is over 75% when applied to dermis. The same holds true when covering "deepithelialised" skin homografts on immunosuppressed patients. Scar formation has not been a problem, and the overall results have been good.
Assuntos
Queimaduras/cirurgia , Desbridamento , Transplante de Pele/fisiologia , Cicatrização/fisiologia , Adolescente , Adulto , Idoso , Células Cultivadas/transplante , Criança , Pré-Escolar , Cicatriz/patologia , Cicatriz/cirurgia , Epiderme/patologia , Epiderme/transplante , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Reoperação , Pele/patologia , Transplante de Pele/patologiaRESUMO
Posttraumatic fingertip reconstruction with a free toe pulp neurovascular flap, first described in 1979, has not been frequently reported. We present our results with 8 free transfers of the toe pulp and demonstrate the successful restoration of a well-padded and sensitive fingertip. All patients, studied with a follow-up of up to 20 months, recovered a discriminative sensibility of the thumb and main fingers, with a stationary two-point discrimination test between 5 and 12 mm and a moving two-point discrimination test between 4 and 8 mm. In spite of the good results obtained, we believe this procedure must be chosen only in certain circumstances. We present the indications and the contraindications for this digital reconstruction.
Assuntos
Traumatismos dos Dedos/cirurgia , Retalhos Cirúrgicos/métodos , Dedos do Pé/cirurgia , Adulto , Feminino , Seguimentos , Humanos , Masculino , Microcirurgia , Dedos do Pé/irrigação sanguínea , Procedimentos Cirúrgicos VascularesRESUMO
Tissue expansion is a useful tool in reconstructive surgery. It permits the correction of large skin lesions by expanded cutaneous or fascio-cutaneous flaps, well vascularised and matching in colour, texture and thickness. We report our results in 12 children. There was a relatively high complication rate.
Assuntos
Queimaduras/cirurgia , Cicatriz/cirurgia , Nevo Pigmentado/cirurgia , Neoplasias Cutâneas/cirurgia , Retalhos Cirúrgicos , Criança , Feminino , Sobrevivência de Enxerto , Humanos , Masculino , CicatrizaçãoRESUMO
Transplantation of autologous cultured epidermal sheets is a recent advance in the treatment of burn patients. A small skin biopsy is sufficient to produce large epidermal sheets within 3 weeks which provide transplants to cover extensive burn wounds. First clinical experience with this method is described.
