Prospective Randomized Comparison of Scar Appearances between Cograft of Acellular Dermal Matrix with Autologous Split-Thickness Skin and Autologous Split-Thickness Skin Graft Alone for Full-Thickness Skin Defects of the Extremities

Objective: To determine the frequency of success of acellular dermal matrix and split thickness skin graft in release of post burn contractures in hand using Vancouver scar scale. Study Design: Descriptive Case Series. Setting: Department of Plastic Surgery, Jinnah Burn and Reconstructive Surgery Center, Lahore. Period: 1st March, 2019 to 30th October, 2019. Material & Method: A descriptive case series conducted at Plastic Surgery Department, Jinnah Burn and Reconstructive Surgery Center, Lahore. A sample size of 75 patients, who full filled the inclusion criteria, was selected through non probability consecutive sampling Informed consent was obtained from all the patients. Pre-operative photography was done to compare the post-operative results. After the release of contractures, coverage with acellular dermis and split thickness skin graft was performed. All the patients were followed up to 2 months and the outcome was assessed by Vancouver Scar Scale. The collected data was entered and analyzed by using SPSS version 20. Descriptive statistics were calculated. Quantitative variables like age, size of scar were presented as mean, ± standard deviation. Qualitative variables were presented as frequencies and percentages. Results: Mean age of patient was 30 ± 9 years. Among them 40 were males and 35 females. Vancouver scale showed successful outcome (score ≤4) in 70.66 % of the patients. Partial release of contracture was the major complication seen in 5.33% of cases. Conclusion: Acelluar dermal matrix followed by split thickness skin graft is a very reliable option for coverage after release of post-burn contractures in hand as it provides very pliable, thin and lax skin with good color match and better contour to surrounding tissue.

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Reconstruction following excision of malignant scalp tumors with split thickness skin graft with and without acellular dermal matrix: A comparative study

Journal of Cutaneous and Aesthetic Surgery ◽

10.4103/jcas.jcas_96_19 ◽

2019 ◽

Vol 12 (4) ◽

pp. 203

Author(s):

Omid Etemad ◽

Javad Rahmati ◽

Soheil Boroumand ◽

Koroush Ghanbarzadeh ◽

ShahriarHaddady Abianeh ◽

...

Keyword(s):

Comparative Study ◽

Skin Graft ◽

Acellular Dermal Matrix ◽

Split Thickness Skin Graft ◽

Dermal Matrix ◽

Thickness Skin ◽

Acellular Dermal

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‘Matriderm’ dermal substitute with split-thickness skin graft compared with full-thickness skin graft for the coverage of skin defects after surgical treatment of congenital syndactyly: results in 40 commissures

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193415594101 ◽

2015 ◽

Vol 41 (3) ◽

pp. 350-351 ◽

Cited By ~ 5

Author(s):

F. Duteille ◽

M. V. Truffandier ◽

P. Perrot

Keyword(s):

Surgical Treatment ◽

Skin Graft ◽

Split Thickness Skin Graft ◽

Dermal Substitute ◽

Full Thickness ◽

Full Thickness Skin Graft ◽

Skin Defects ◽

Full Thickness Skin ◽

Thickness Skin

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The Use of the PlasmaBlade and Acellular Dermal Matrix in Rhinophyma Surgery

Journal of Cutaneous Medicine and Surgery ◽

10.1177/1203475415612422 ◽

2015 ◽

Vol 20 (2) ◽

pp. 155-158 ◽

Cited By ~ 4

Author(s):

Adem Özkan ◽

Adem Topkara ◽

Ramazan Hakan Özcan ◽

Sadık Şentürk

Keyword(s):

Skin Graft ◽

Combined Treatment ◽

Acellular Dermal Matrix ◽

Split Thickness Skin Graft ◽

Dermal Matrix ◽

Severe Acne ◽

Thickness Skin ◽

Aesthetic Results ◽

End Stage ◽

Acellular Dermal

Background: Rhinophyma is a rare, disfiguring disease characterized by a slow progressive overgrowth of the soft tissue of the nose associated with end-stage severe acne rosacea. Objective: We present a case of severe rhinophyma treated successfully using PlasmaBlade and acellular dermal matrix with split-thickness skin graft. Methods: This procedure combines deep excision with PlasmaBlade followed by coverage with an acellular dermal matrix for dermal substitution and split-thickness skin graft. Results: Functional and aesthetic results were satisfactory. Conclusion: We offer a new approach to surgical treatment of rhinophyma. Total excision of phymatous tissue and single session replacement of epidermal-dermal components is an effective treatment for patients with severe rhinophyma, resulting in satisfactory functional and aesthetic outcome. This combined treatment modality prevents the recurrence of rhinophyma. It should be considered an appropriate alternative in cases of severe rhinophyma.

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