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논문 기본 정보

자료유형
학술저널
저자정보
Yang, Jung Dug (Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Kyungpook National University) Cho, In Gook (Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Kyungpook National University) Kwon, Joon Hyun (Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Kyungpook National University) Lee, Jeong Woo (Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Kyungpook National University) Choi, Kang Young (Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Kyungpook National University) Chung, Ho Yun (Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Kyungpook National University) Cho, Byung Chae (Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Kyungpook National University)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제43권 제5호
발행연도
2016.1
수록면
418 - 423 (6page)

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Background Skin grafting is a relatively simple and thus widely used procedure. However, the elastic and structural quality of grafted skin is poor. Recently, various dermal substitutes have been developed to overcome this disadvantage of split-thickness skin grafts. The present study aims to determine the feasibility of RapiGraft as a new dermal substitute. Methods This prospective study included 20 patients with partial- or full-thickness skin defects; the patients were enrolled between January 2013 and March 2014. After skin defect debridement, the wound was divided into two parts by an imaginary line. Split-thickness skin grafting alone was performed on one side (group A), and RapiGraft and split-thickness skin grafting were used on the other side (group B). All patients were evaluated using photographs and self-questionnaires. The Manchester scar scale (MSS), a chromameter, and a durometer were used for the scar evaluation. The average follow-up period was 6 months. Results The skin graft take rates were 93% in group A and 89% in group B, a non-significant difference (P=0.082). Statistically, group B had significantly lower MSS, vascularity, and pigmentation results than group A (P<0.05 for all). However, the groups did not differ significantly in pliability (P=0.155). Conclusions The present study indicates that a simultaneous application of RapiGraft and a split-thickness skin graft is safe and yields improved results. Therefore, we conclude that the use of RapiGraft along with skin grafting will be beneficial for patients requiring reconstructive surgery.
#Skin #Artificial #Cicatrix #Skin transplantation

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참고문헌 (20)

참고문헌 신청
Haslik W / 2010 / Management of fullthickness skin defects in the hand and wrist region: first longterm experiences with the dermal matrix Matriderm / J Plast Reconstr Aesthet Surg 63:360~364 google schola Yannas IV / 1980 / Design of an artificial skin: I. Basic design principles / J Biomed Mater Res 14:65~81 google schola Lamme EN / 1996 / Extracellular matrix characterization during healing of full-thickness wounds treated with a collagen/elastin dermal substitute shows improved skin regeneration in pigs / J Histochem Cytochem 44:1311~1322 google schola Groos N / 2005 / Use of an artificial dermis (Integra) for the reconstruction of extensive burn scars in children: about 22 grafts / Eur J Pediatr Surg 15:187~192 google schola King WW / 1997 / Evaluation of artificial skin (Integra) in a rodent model. / Burns 23(Suppl 1):S30~S32 google schola

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