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Modified Colson flap with subcutaneous liposuction for one-stage donor site removal: A case series.
Milaire, Alexia; Grosset, Antoine; Ngo, Benjamin; Duhoux, Alexandre; Brachet, Michel; Duhamel, Patrick; Bey, Eric; Baus, Arnaud.
Afiliación
  • Milaire A; Department of Orthopedic, Trauma and Reconstructive Surgery, Percy Military teaching hospital, 101, avenue Henri-Barbusse, 92140 Clamart, France.
  • Grosset A; Department of Orthopedic, Trauma and Reconstructive Surgery, Percy Military teaching hospital, 101, avenue Henri-Barbusse, 92140 Clamart, France.
  • Ngo B; Department of Plastic, Reconstructive and Aesthetic Surgery, PERCY Military Teaching Hospital, 101, avenue Henri-Barbusse, 92140 Clamart, France.
  • Duhoux A; Department of Plastic, Reconstructive and Aesthetic Surgery, PERCY Military Teaching Hospital, 101, avenue Henri-Barbusse, 92140 Clamart, France.
  • Brachet M; Department of Plastic, Reconstructive and Aesthetic Surgery, PERCY Military Teaching Hospital, 101, avenue Henri-Barbusse, 92140 Clamart, France.
  • Duhamel P; Department of Plastic, Reconstructive and Aesthetic Surgery, PERCY Military Teaching Hospital, 101, avenue Henri-Barbusse, 92140 Clamart, France; Department of Surgery, French Military Health Service Academy, Val-de-Grâce School, Paris, France.
  • Bey E; Department of Plastic, Reconstructive and Aesthetic Surgery, PERCY Military Teaching Hospital, 101, avenue Henri-Barbusse, 92140 Clamart, France; Department of Surgery, French Military Health Service Academy, Val-de-Grâce School, Paris, France.
  • Baus A; Department of Plastic, Reconstructive and Aesthetic Surgery, Sainte-Anne Military Teaching Hospital, 2, boulevard Sainte-Anne, 83000 Toulon, France. Electronic address: nonochtisantard@yahoo.fr.
Ann Chir Plast Esthet ; 68(3): 185-193, 2023 Jun.
Article en En | MEDLINE | ID: mdl-37045656
OBJECTIVES: The aim of this study was to evaluate the functional and cosmetic results of an innovative procedure for modified Colson flap-graft consisting of immediate defatting of the flap by a liposuction cannula. METHODS: A cross-sectional study was performed among patients with deep hand burns requiring a modified Colson flap between 2018 and 2021. Outcomes included functional and cosmetic assessment of the hand through a quality-of-life questionnaire, a sensitivity scale and a scar assessment scale. RESULTS: During this period, 7 patients were operated on using our technique. One patient was lost to follow-up; 7 patients with a median age of 44 years were included, with a total of 10 burned hands. The burns were thermal in 5 out of 7 cases and the coverage concerned the whole hand in 50% of the cases. The flaps all received cannula defatting. The median time to flap weaning was 23 days (20 to 30 days). The median follow-up was 16 months. One case required remote flap weaning. The median POSAS (Patient and Observer Scar Assessment Scale) per patient was 4 and 2 per observer. The median BMRCSS (British Medical Research Council Sensory Scale) was 122. One case had recovered S2 sensitivity, the other cases had S3 or S4 sensitivity. CONCLUSION: Immediate defatting is one of the factors in tegumental quality allowing rapid functional recovery of the hand. The cannula defatting technique does not appear to require additional defatting time. The use of the liposuction cannula allows a one-step, homogeneous, and easier defatting, with a lower risk of devascularization.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Quemaduras / Lipectomía / Procedimientos de Cirugía Plástica / Traumatismos de la Mano Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Adult / Humans Idioma: En Revista: Ann Chir Plast Esthet Año: 2023 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Quemaduras / Lipectomía / Procedimientos de Cirugía Plástica / Traumatismos de la Mano Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Adult / Humans Idioma: En Revista: Ann Chir Plast Esthet Año: 2023 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia