关键词: Buried Penis Split-Thickness Skin Graft

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Abstract:
UNASSIGNED: In the United States, acquired buried penis deformity is an increasingly more common condition. Management of the buried penis deformity is accomplished with removal of macerated skin and subcutaneous tissue from the panniculus and prepubic region, and replacement of denuded penile skin. If local tissue advancement is insufficient to cover the defect, a skin graft may be required. Though the anterior thigh is commonly used, this creates a second defect. Here we describe 2 cases of split-thickness skin grafts harvested from the panniculus to cover buried penis deformities.
UNASSIGNED: Two patients with a buried penis deformity were identified. The denuded suprapubic tissue was elevated. Using inferior traction, split-thickness skin grafts were harvested and placed onto the shaft of the penis. The remaining excess tissue was resected.
UNASSIGNED: One patient had a fungal rash that resolved with topical treatment. The other patient had a hematoma requiring surgical evacuation. Neither patient had any other complications, and both had over 95% take of the split-thickness skin grafts.
UNASSIGNED: These cases demonstrate the successful use of pannicular skin grafts for buried penis deformity correction. This donor site avoids creation of a second defect. As demonstrated here, the grafts are a durable option, even in the setting of local infection and hematoma.
摘要:
在美国,获得性阴茎埋藏畸形是一种越来越常见的疾病。掩埋阴茎畸形的治疗是通过从脂膜和耻骨前区域去除浸软的皮肤和皮下组织来完成的。并更换裸露的阴茎皮肤。如果局部组织推进不足以覆盖缺损,可能需要进行皮肤移植。虽然大腿前部是常用的,这产生了第二个缺陷。在这里,我们描述了2例从膜中收获的厚度分裂的皮肤移植物,以覆盖掩埋的阴茎畸形。
确认了两名阴茎隐埋畸形患者。裸露的耻骨上组织升高。使用较差的牵引力,收获厚薄的皮肤移植物并将其放置在阴茎轴上。切除剩余的多余组织。
一名患者出现真菌皮疹,经局部治疗后缓解。另一名患者患有血肿,需要手术撤离。两个病人都没有其他并发症,两者都有超过95%的厚度分裂的皮肤移植物。
这些病例证明了将膜皮移植成功用于隐埋阴茎畸形矫正。该供体位点避免了第二缺陷的产生。正如这里所证明的,移植物是一个持久的选择,即使在局部感染和血肿的情况下。
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