АНАЛИЗ МЕТОДОВ ПЕРЕСАДКИ КОЖИ ПРИ ОБШИРНЫХ ОЖОГАХ СРЕДНЕЙ И НИЖНЕЙ ТРЕТИ ЛИЦА

Abstract

Abstract. Introduction. The article analyzes the most advanced approaches to the choice of plastic replacement of burn defects in the middle and lower thirds of the face and neck. Aim. The aim is to review of current data on the analysis of autograft transplantation technique and algorithm depending on the specific surgical school. Material and methods. A review of current medical publications in foreign literature for the last 5 years has been carried out. Results and discussion. Further prospects for the use of allogeneic and synthetic materials, which are auxiliary tools necessary to optimize the technology of skin graft engraftment, are evaluated. A comparative assessment of the methods in which skin grafts were used with methods based on the use of free skin flaps and local flaps, previously expanded with a tissue expander, was made. Conclusion. According to the literature, the most suitable flaps for face transplantation have been identified, depending on the aesthetic aspects of the initial defect and the anatomical features of the blood supply sources of both the donor zone and the recipient bed. In connection with recent advances in the field of allotransplantation of the face, which marks the beginning of a new period in reconstructive surgery of the face, significant shortcomings and, at the same time, undoubted advantages of this technique have been noted.