Vlasište kao donor transplantata djelomične debljine kože u liječenju masivne termalne ozljede

Scientific paper - Case study

• Title (english): The scalp as a split-thickness graft donor in the treatment of a massive thermal injury
• Author: Rok Kralj
• Author: Zoran Barčot
• Author: José Alejandro Varas Fuenzalida
• Author: Tomislav Kifer
• Author: Diana Butković
• Author: Ivo Vukasović
• Author: Božidar Župančić
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

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 (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.

• Keywords (english): Burns/surgery; Child, Preschool; Cicatrix/etiology; Humans; Male; Scalp/physiology; Skin Transplantation/adverse effects; Skin Transplantation/methods
• Language: croatian
• Publication type: Scientific paper - Case study
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Liječnički vjesnik
• Numbering: vol. 138, no. 7-8, pp. 200-203
• p-ISSN: 0024-3477
• URN:NBN: urn:nbn:hr:105:042379
• Publication: 2016-07
• Document URL: https://hrcak.srce.hr/file/255108
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-28 09:38:18