Expanded full thickness skin graft to repair scar and scar contractures: a descriptive case series
DOI:
https://doi.org/10.18203/2349-2902.isj20204690Keywords:
Expanded full thickness skin graft, Donor, Tissue expandersAbstract
Management of deep burns/trauma scars has always been a challenge. Seven patients with burn/trauma scar were treated with expanded full thickness grafts (EFTSGs). In stage one, tissue expanders were implanted at the donor sites and expansion with saline was done as an out-patient for 4-5 months. In stage two, the scar was excised and secondary wound was repaired with EFTSGs. Total of 8 EFTSGs were harvested from various donor sites. After stage one there was good blood supply noted in all the expanded skin flaps. After stage two, EFTSGs survived in all; except for partial skin necrosis in the leg of one patient. The graft take were excellent in color-match, texture and elasticity. There was a significant improvement in function and aesthetic aspect in all the cases. EFTSGs is an effective solution to repair effectively scar and scar contractures due to excellent cosmetic and functional recovery.
Metrics
References
Huang T, Dibildox M. Chapter 51- The use of skin grafts, skin flaps and tissue expansion in burn deformity reconstruction. In: Herndon DN, editor. Total Burn Care. 2012;581-90.
Engrav LH, Donelan MB. Acute care and reconstruction of facial burns. In: Mathes S, Hentz V, editors. Textbook of Plastic Surgery. 2nd edition. Saunders Elsevier: Philadelphia. 2006;45-77.
Foyatier JL, Comparin JP, Masson CL. Skin flaps and expanded full-thickness skin grafts. Indications in the repair of burn sequelae. Ann Chir Plast Esthet. 1996;4:511-32.
Gil T, Metanes I, Aman B, Taran A, Mayblum S, Izhak T, et al. Six tissue expansion sessions of the scalp for reconstruction of post-burn alopecia. J Burn Care Res. 2008;29:390.
Di Mascio D, Castagnetti F, Mazzeo F, Caleffi E, Dominici C. Overexpansion technique in burn scar management. Burns. 2006;32:490.
Neuman Z, Wexler MR. Reconstruction of facila burns. In: Feller I, Grabb WC, editor. Reconstruction and Rehabilitation of Burned patient. Universtity of Michigan Press, Ann Arbor, Michigan. 2018;10-5.
Yeong EK, Chen MT, Mann R: Facial Mutilation after assault with chemical: 15 cases and literature review. J Burn Care Rehabil. 1997;18:234-17.
Feldman JJ. Facial resurfacing: The single sheet concept. In: Mc Carthy JG, editor. Plastic Surgery. W. B. Saunders, Philadelphia. 2010;327-42.
Cunha MS, Nakamoto HA, Herson MR, Faes JC, Gemperli R, Ferreira MC. Tissue expander complications in plastic surgery: a 10-year experience. Rev Hosp Clin Fac Med Sao Paulo. 2002;57:9.
Bozkurt A, Groger A, O'Dey D, Vogeler F, Piatkowski A, Fuchs PCh, Pallua N. Retrospective analysis of tissue expansion in reconstructive burn surgery: evaluation of complication rates. Burns. 2008;34:1113.