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首页> 外文期刊>The journal of sexual medicine >MatriDerm Decreases Donor Site Morbidity After Radial Forearm Free Flap Harvest in Transgender Surgery
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MatriDerm Decreases Donor Site Morbidity After Radial Forearm Free Flap Harvest in Transgender Surgery

机译：在桡骨前臂自由襟翼收获后，Matriderm降低了变性手术的径向前臂

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Abstract Background Phalloplasty with the radial forearm free flap is associated with a large donor site defect. Aim To compare two methods of donor site closure for functional and cosmetic long-term results: full-thickness skin grafting vs split-thickness skin grafting with MatriDerm. Methods Thirty-seven transgender patients had a neophallus created from a radial forearm free flap, and all were operated on by the same senior surgeon. Eight patients had their donor site defect closed by total skin grafting and 29 patients, operated on after 2009, received a split-thickness skin graft with MatriDerm closure. All 37 patients were evaluated by questionnaire and by careful clinical examination. Pressure perception was assessed with the Semmes-Weinstein monofilament test. Sensory recovery, skin quality, and cosmetic result also were compared. The contralateral arm was used as the control. Outcomes Pressure perception values showed better sensory return in the MatriDerm group. Split-thickness skin grafting with MatriDerm achieved superior results in skin sensibility, superficial radial nerve recovery, and cosmetic aspect. Results Our findings support the hypothesis that MatriDerm can be used to preserve sensory function and decrease morbidity of the donor site. Clinical Implications The use of a dermal substitute decreases the morbidity of the forearm free flap donor site. Strengths and Limitations The strength of this study is its retrospective nature conducted of a prospectively maintained database of 37 consecutive radial forearm free flaps with superimposable dimensions and location performed by the same surgeon, thus limiting biases. A limitation is its small sample (particularly for the control group). Conclusion Our experience showed that the combination of a split-thickness skin graft with MatriDerm substantially decreases postoperative complications at the donor site defect on the forearm of transgender patients. Watfa W, di Summa PG, Meuli J, et?al. MatriDerm Decreases Donor Site Morbidity After Radial Forearm Free Flap Harvest in Transgender Surgery. J Sex Med 2017;14:1277–1284 .
机译：摘要背景与径向前臂自由翼片的植物成形术与大型捐助部位缺陷有关。旨在比较功能和化妆品长期结果的两种捐助部位闭合方法：全厚的皮肤接枝与MITRIDERM的分体厚度皮肤接枝。方法有三十七名的转型患者患有从径向前臂自由襟翼创建的新opallus，并由同一高级外科医生运营。八名患者通过全皮肤嫁接和29名患者封闭的捐助部位缺陷，2009年后操作，接受了与MITRIDERM封闭的分裂厚度皮肤移植物。所有37名患者由问卷调查和仔细临床检查评估。用Semmes-Weinstein单丝测试评估压力感知。也比较了感官恢复，皮肤质量和化妆品结果。对侧臂被用作对照。结果压力感知值显示母性组中的更好的感官返回。用Matriderm接枝的分体厚度皮肤嫁接卓越的皮肤敏感性，表面径向神经恢复和化妆品方面的结果。结果我们的调查结果支持母体可用于保持感官功能和减少供体部位的发病率的假设。临床意义使用皮肤替代物的使用降低了前臂自由襟翼供体部位的发病率。优势和局限性本研究的强度是其回顾性，其次进行了37个连续的径向前臂自由襟翼的前瞻性数据库，其具有相同外科医生的叠加尺寸和位置，从而限制了偏差。限制是它的小样本（特别是对照组）。结论我们的经验表明，与母体的分裂厚度皮肤移植物的组合显着降低了转型患者前臂的供体部位缺陷的术后并发症。 watfa w，di summa pg，meuli j，et？al。在桡骨前臂自由襟翼收获术后，Matriderm降低了变性手术中的径向前臂。 J SEX MED 2017; 14：1277-1284。

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