scholarly journals Usefulness of a Skin Graft Obtained from the Bilateral Nasolabial Folds for a Skin Defect following Resection of a Malignant Tumor at the Nasal Tip

2021 ◽  
Vol 9 (3) ◽  
pp. e3481
Author(s):  
Ikuko Osugi ◽  
Kiichi Inagawa ◽  
Syougo Ebisudani ◽  
Naoki Hara
Keyword(s):  
Skin Graft ◽  
Malignant Tumor ◽  
Skin Defect ◽  
Nasal Tip ◽  
Nasolabial Folds

Use of Allogeneic Skin Graft for the Closure of Large Meningomyeloceles: Technical Case Report

2006 ◽  
Vol 58 (suppl_4) ◽  
pp. ONS-E376-ONS-E376 ◽  
Author(s):  
Shabbar F. Danish ◽  
Amer F. Samdani ◽  
Phillip B. Storm ◽  
Leslie Sutton
Keyword(s):  
Case Report ◽  
Skin Graft ◽  
Primary Closure ◽  
Clinical Presentation ◽  
Operative Management ◽  
Skin Defect ◽  
Skin Grafts ◽  
Term Infants ◽  
Alternative Approach ◽  
Complicated Skin

Abstract Objective and Importance: To describe an alternative approach to the operative management of large meningomyeloceles, in which primary closure is not possible. Clinical Presentation: Two full-term infants presented with very large menin-gomyeloceles for closure after an uncomplicated delivery. Technique: An allogeneic skin graft was used in both cases to approximate the skin defect that remained after removal of the large meningomyelocele sacs. The surgical site was treated with dressing changes only during the postoperative period. Conclusion: The independent use of allogeneic skin grafts can lead to a successful cosmetic result for the treatment of large meningomyeloceles without the use of complicated skin incisions or flap advancements.

scholarly journals An analysis of post traumatic leg and foot defects

2019 ◽  
Vol 6 (6) ◽  
pp. 2041
Author(s):  
Gopalan G. ◽  
Dhanaraju S.
Keyword(s):  
Soft Tissue ◽  
Skin Graft ◽  
Traffic Accidents ◽  
Lower Limbs ◽  
Split Thickness Skin Graft ◽  
Soft Tissue Coverage ◽  
Durable Good ◽  
Skin Defect ◽  
Early Recovery ◽  
Thickness Skin

Background: Management of lower extremity trauma with bone and soft tissue injury is a challenging task with the aim of giving early recovery and durable good quality skin cover according to the skin defect and analyze various reconstructive options at various levels of injury. Our aim of the study is to analyze various reconstructive options for traumatic skin loss involving lower limbs especially knee and below knee, and analyze the incidence of age, sex and etiology of traumatic defects.Methods: Prospective study in our plastic surgery department in the period of 24 months, with all the cases of traumatic defects of leg and foot where included. All age and sex patients were included.Results: Most common cause for traumatic leg and foot defects are road traffic accidents followed by accidental fall and others, most commonly in males amounting 73%, children 10% and  females 17%, among the skin and soft tissue  defects upper and lower 1/3 leg defects are predominant. Among the soft tissue coverage split thickness skin graft dominating about 60% of cases, flaps 30% of cases, among the flaps 70% are fasciocutaneous flaps predominantly inferiorly based  and 30% are muscle and musculocutaneous flaps, among the muscle predominantly soleus muscle flap was used to cover the defect.Conclusions:Road traffic accidents dominating the cause for leg and foot defects , males are more commonly affected  and upper one third leg defects are predominant for soft tissue coverage split thickness skin graft are commonest procedures followed that cutaneous and muscle flaps. 

scholarly journals Reconstruction of Pretibial Defect Using Bone-Anchored Advancement Flap

2021 ◽  
Vol 17 (1) ◽  
pp. 72-75
Author(s):  
Suhwan Kim ◽  
Kyeong-Tae Lee ◽  
Jin-Woo Park
Keyword(s):  
Skin Graft ◽  
Free Flaps ◽  
Advancement Flap ◽  
Split Thickness Skin Graft ◽  
Skin Defect ◽  
Major Drawback ◽  
Medial Side ◽  
Thickness Skin ◽  
Extended Operation ◽  
One Year

While free flaps have been widely used for reconstruction of pretibial defects, the extended operation times are known to be a major drawback. This report presents a case of successful lower leg reconstruction for a large pretibial defect with a bone-anchored advancement flap and split-thickness skin graft. A 59-year-old female patient underwent wide excision of sarcoma on the pretibial area. The skin defect measured 14×6 cm with a 10×2 cm exposure of the tibia in the medial aspect of the defect. An advancement flap was elevated from the medial side of the tibia to cover the exposed bone. The bone defect was reconstructed by the advancement flap with the aid of an anchoring suture to the tibia. Remaining defect with exposed muscles was covered using split-thickness skin graft. No immediate postoperative complication developed. One year after the operation, well-contoured reconstruction was achieved without functional morbidities. In reconstruction of pretibial defects, bone-anchored advancement flap can be considered in patients who are reluctant to or have risk factors for free flap reconstruction.

scholarly journals An Alternative Treatment Strategy for Complicated Chronic Wounds: Negative Pressure Therapy over Mesh Skin Graft

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Michele Maruccia ◽  
Maria G. Onesti ◽  
Valentina Sorvillo ◽  
Antonio Albano ◽  
Luca A. Dessy ◽  
...  
Keyword(s):  
Skin Graft ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Tissue Growth ◽  
Real Problem ◽  
Skin Defect ◽  
Skin Grafts ◽  
Wound Therapy ◽  
Pressure Therapy ◽  
Mesh Skin Graft

Extensive skin defect represents a real problem and major challenge in plastic and reconstructive surgery. On one hand, skin grafts offer a practical method to deal with skin defects despite their unsuitability for several complicated wounds. On the other hand, negative pressure wound therapy (NPWT), applied before skin grafting, promotes granulation tissue growth. The aim of the study is to evaluate the improvement in wound healing given by the merger of these two different approaches. We treated 23 patients for large wounds of multiple factors. Of these, 15 were treated with the application of V.A.C.® Therapy (KCI Medical S.r.l., Milan, Italy), in combination with skin grafts after a prior unsuccessful treatment of 4 weeks with mesh skin grafts and dressings. Another 8 were treated with only mesh skin graft. Pain reduction and wound area reduction were found statistically significant (p<0.0009,p<0.0001). Infection was resolved in almost all patients. According to our study, the use of the negative pressure wound therapy over mesh skin grafts is significantly effective especially in wounds resistant to conventional therapies, thereby improving the rate of skin graft take.

scholarly journals Use of Preputial Skin as Cutaneous Graft after Nevus Excision

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
A. D'Alessio ◽  
E. Piro ◽  
M. Brugnoni ◽  
L. Abati
Keyword(s):  
Skin Graft ◽  
Surgical Excision ◽  
Skin Defect ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Full Thickness Skin ◽  
Thickness Skin

We report a four-year-old boy with a nevus covering all the plantar side of his second finger on the left foot. He was also affected by congenital phimosis. Surgical excision of the nevus was indicated, but the skin defect would have been too large to be directly closed. The foreskin was taken as a full-thickness skin graft to cover the cutaneous defect of the finger. The graft intake was favourable and provided a functional repair with good aesthetic characteristic.

Full-Thickness Skin Graft Reconstruction of Nasal Tip Defects

1993 ◽  
Vol 9 (04) ◽  
pp. 269-274 ◽  
Author(s):  
M. Tardy ◽  
R. Boyce ◽  
Edwin Williams ◽  
Margaret Walter ◽  
Bradford Patt
Keyword(s):  
Skin Graft ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Nasal Tip ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Graft Reconstruction

scholarly journals Acellular dermal matrix treats lower extremity full-thickness skin defect on one-stage without skin graft or flaps

2020 ◽  
Author(s):  
Gongchi Li ◽  
Pan Zhou ◽  
Hanlin Liu ◽  
Han Peng ◽  
Binghui Li ◽  
...  
Keyword(s):  
Wound Healing ◽  
Lower Extremity ◽  
Skin Graft ◽  
Lower Extremities ◽  
Acellular Dermal Matrix ◽  
Matrix Product ◽  
Skin Defect ◽  
Full Thickness ◽  
Dermal Matrix ◽  
Acellular Dermal

Abstract Background Self-repair of lower limb wounds has always been one of the research hotspots. Flaps and skin graft are the preferred treatment for lower extremity wound reconstruction. However, these treatments have many disadvantages, such as secondary damage, poor healing quality. In recent years, the use of acellular dermal matrix has emerged as an alternative treatment option for extremity ulcers. Methods This study aimed to explore whether acellular dermal matrix can be used as a single treatment to promote wound healing. 7 patients with lower extremities cutaneous deficiency exposing bone or tendon, was covered by Pelnac, which was an acellular dermal matrix product approved by China Food and Drug Administration. All the wound was treated by Pelnac without flaps and skin graft. The external dressing was changed every 10 days. Results After a maximum of 20 weeks, all the wounds were completely healed. During the 12 months follow-up period none of the patients developed skin wear on the treatment area. All patients maintained their postoperative ambulatory ability. All patients were satisfied with the appearance and feeling after wound healing. Conclusions These findings may mean acellular dermal matrix is a novel method offering opportunity for treatment of lower extremities cutaneous deficiency exposing bone or tendon. It also has the potential to close wounds of all uninfected, non-ischemic, full-thickness cutaneous deficiency.

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