组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2022, Vol. 18 ›› Issue (6): 510-.

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阴囊皮肤修复大面积深度烧伤后睑外翻一例

  

  • 出版日期:2022-12-01 发布日期:2023-01-12

A case report of ectropion repair by using scrotal skin after extensive deep burn

  • Online:2022-12-01 Published:2023-01-12

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摘要： 2019年10月，收治1例烧伤面积占体表总面积（Total body surface area，TBSA）95%的Ⅲ度烧伤患者，伴有严重的眼睑烧伤。早期，仅存的皮肤被用来反复取刃厚皮覆盖创面，抢救生命，没有多余的正常全厚皮肤处理眼睑创面，从而引起严重的睑外翻畸形，使角膜和球结膜外露。为了避免病情进一步恶化，导致角膜穿孔等严重并发症，我们选择阴囊皮肤作为供皮区修复睑外翻畸形。术后，眼睑可正常闭合，角膜炎逐渐改善，供区愈合良好。

关键词: 烧伤, 眼睑外翻, 阴囊皮肤, 植皮

Abstract: In October 2019, a patient with 95% total body surface area (TBSA) burns of grade Ⅲ was admitted, with severe eyelid burns. In the early stage, the remaining skin was used repeatedly to cover the wound with thick skin, saving lives. There was no excess normal full thickness skin for eyelid wounds, resulting in a severe ectropion deformity that exposed the cornea and bulbar conjunctiva. In order to avoid further deterioration of the condition, resulting in serious complications such as corneal perforation, scrotal skin was selected as the donor site to repair ectropion deformity. After surgery, eyelid could be closed normally, keratitis gradually improved, scrotal suture healed well.

Key words: Burn, 　Eyelid ectropion, 　Scrotal skin, 　Skin-grafting