Vlasište kao donor transplantata djelomične debljine kože u liječenju masivne termalne ozljede [The scalp as a split-thickness graft donor in the treatment of a massive thermal injury]

Kralj, Rok and Barčot, Zoran and Fuenzalida, José Alejandro Varas and Kifer, Tomislav and Butković, Diana and Vukasović, Ivo and Župančić, Božidar (2016) Vlasište kao donor transplantata djelomične debljine kože u liječenju masivne termalne ozljede [The scalp as a split-thickness graft donor in the treatment of a massive thermal injury]. Liječnički vjesnik, 138 (7-8). pp. 200-3. ISSN 0024-3477

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Abstract

We are presenting our initial experience with the utilization of the scalp as a donor for split thickness skin grafting in the treatment of massive thermal injuries. Rapid donor reepithelization, absence of hypertrophic scarring in the donor area, inconspicuous donor area and a large area for the procurement of grafts in the pediatric population are the advantages that are emphasized in the literature. The outcome in a 3-year-old boy who suffered a burn injury from an open fire in the family house on the 57% of his total body surface area (48% full thickness burn) showed that the “take rate”, in the absence of a massive local infection, was around 80% and that the scalp can be utilized again as a donor area after a period of 14 days. Folliculitis and alopecia are complications that should be kept in mind when using this technique.

Abstract in Croatian

Prikazujemo svoje inicijalno iskustvo u uporabi vlasišta kao davatelja presatka djelomične debljine kože pri liječenju masivnih opeklinskih ozljeda. Brzina cijeljenja donora, odsutnost razvoja hipertrofičnih ožiljaka na davateljskim regijama, nezamjetne donorske regije te velika površina koja se, posebice u dječjoj dobi, može iskoristiti kao donor prednosti su ove tehnike koje se navodi u literaturi. Ishod kod trogodišnjeg dječaka s opeklinskom ozljedom nastalom u plamenu u obiteljskoj kući pri čemu mu je opečeno 57% tjelesne površine (48% tjelesne površine opeklina pune debljine kože) ­pokazao je da je prihvat transplantata u odsutnosti masivne lokalne infekcije bio oko 80% te da se vlasište može ponovo iskoristiti kao donorska regija nakon perioda od 14 dana. Folikulitis i alopecija jesu komplikacije o kojima treba voditi računa pri uporabi ove tehnike.

Item Type: Article
MeSH: Burns/surgery ; Child, Preschool ; Cicatrix/etiology ; Humans ; Male ; Scalp/physiology ; Skin Transplantation/adverse effects ; Skin Transplantation/methods
Departments: Katedra za kirurgiju
Depositing User: Anja Majstorović
Status: Published
Creators:
CreatorsEmail
Kralj, RokUNSPECIFIED
Barčot, ZoranUNSPECIFIED
Fuenzalida, José Alejandro VarasUNSPECIFIED
Kifer, TomislavUNSPECIFIED
Butković, DianaUNSPECIFIED
Vukasović, IvoUNSPECIFIED
Župančić, BožidarUNSPECIFIED
Date: July 2016
Date Deposited: 19 Mar 2019 11:03
Last Modified: 19 Mar 2019 11:03
Subjects: /
Related URLs:
URI: http://medlib.mef.hr/id/eprint/3152

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