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Nasal splints ( Aquaplast(R) ) 를 이용한 전층 식피편의 고정
이원채(Won Chae Lee),오병민(Byoung Min Oh),이현주(Hyun Joo Lee),이석종(Seok Jong Lee),김도원(Do Won Kim),나건연(Gun Yoen Na) 대한피부과학회 2002 大韓皮膚科學會誌 Vol.40 No.10
N/A Background : For securing FTSG, bolus tie-over dressing is a universally accipted method, but it has some definite disadvantages. For example, bulky dressing ingibits the drainage from graft bed and can lead to maceration by occlusion. Time and effort is necessary to secure dressing and the help of an assistant is also mandatory to tie the suture much easier. Objectives : In an attempt to find a better dressing material, we evaluated the usefulness of thermoplastic nasal splints (Aquaplaste^ ) for securing graft in FTSG reconstruction. Methods : Thirteen patients with surgical defects following tumor exision from the nose(9 patients), forehead(1), lip(l), hand(1), shin(l) ranging from 12mm to 40mm in the largest diameter were reconstructed with a FTSG. For securing FTSG, a heat-moldable nasal splint was heated, contoured in place over sutured graft on recipient area with/without suture of the splint with skin. Results : All of the 13 FTSG secured with nasal splints showed a good take with a satisfactory cosmetic results. Except hypertrophic scars in 4 patients, which were not signigicant and improved with several tines intralesional injection of triancinolone, there no other complications. Conclusion : We have found a heat-mosdable vasal splint to be useful material to secrue FTSG, , especially for the complex contoured area such as nose or ear. This technique saves time and effort and there is no need of an assistant.
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