Simultaneous dermal matrix and autologous split-thickness skin graft transplantation in a porcine wound model: A three-dimensional histological analysis of revascularization

2014 ◽  
Vol 22 (6) ◽  
pp. 749-754 ◽  
Author(s):  
Maria Wiedner ◽  
Ines E. Tinhofer ◽  
Lars-Peter Kamolz ◽  
Atieh Seyedian Moghaddam ◽  
Ivo Justich ◽  
...  
Keyword(s):  
Skin Graft ◽  
Histological Analysis ◽  
Three Dimensional ◽  
Split Thickness Skin Graft ◽  
Dermal Matrix ◽  
Wound Model ◽  
Thickness Skin

scholarly journals Outcome of the acellular dermal matrix and split thickness skin graft in release of post burn contractures in hand.

2021 ◽  
Vol 28 (02) ◽  
pp. 147-152
Author(s):  
Abdul Malik Mujahid ◽  
Husnain Khan ◽  
Yawer Sajjad ◽  
Kashif Mehmood Sheikh ◽  
Noor Ali ◽  
...  
Keyword(s):  
Skin Graft ◽  
Reconstructive Surgery ◽  
Case Series ◽  
Acellular Dermal Matrix ◽  
Split Thickness Skin Graft ◽  
Dermal Matrix ◽  
Thickness Skin ◽  
Acellular Dermal ◽  
Surgery Center ◽  
Burn Contractures

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.

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

2015 ◽  
Vol 20 (2) ◽  
pp. 155-158 ◽  
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.

scholarly journals Impact of dermal matrix thickness on split‐thickness skin graft survival and wound contraction in a single‐stage procedure

2021 ◽  
Author(s):  
Phillip M. Kemp Bohan ◽  
Laura E. Cooper ◽  
John L. Fletcher ◽  
Christopher J. Corkins ◽  
Shanmugasundaram Natesan ◽  
...  
Keyword(s):  
Graft Survival ◽  
Skin Graft ◽  
Single Stage ◽  
Wound Contraction ◽  
Split Thickness Skin Graft ◽  
Dermal Matrix ◽  
Thickness Skin

Improving Outcomes in Anterolateral Thigh Flap Donor-Site Reconstruction Using Propeller Flaps: A Retrospective Comparative Study with Skin Grafting

2020 ◽  
Author(s):  
Domenico Pagliara ◽  
Maria Lucia Mangialardi ◽  
Stefano Vitagliano ◽  
Valentina Pino ◽  
Marzia Salgarello
Keyword(s):  
Comparative Study ◽  
Skin Graft ◽  
Donor Site ◽  
Split Thickness Skin Graft ◽  
Tactile Sensitivity ◽  
Aesthetic Outcome ◽  
Propeller Flap ◽  
Thickness Skin ◽  
Anterolateral Thigh ◽  
Alt Flap

Abstract Background After anterolateral thigh (ALT) flap harvesting, skin graft of the donor site is commonly performed. When the defect width exceeds 8 cm or 16% of thigh circumference, it can determine lower limb function impairment and poor aesthetic outcomes. In our comparative study, we assessed the functional and aesthetic outcomes related to ALT donor-site closure with split-thickness skin graft compared with thigh propeller flap. Methods We enrolled 60 patients with ALT flap donor sites. We considered two groups of ALT donor-site reconstructions: graft group (30 patients) with split-thickness skin graft and flap group (30 patients) with local perforator-based propeller flap. We assessed for each patient the range of motion (ROM) at the hip and knee, tension, numbness, paresthesia, tactile sensitivity, and gait. Regarding the impact on daily life activities, patients completed the lower extremity functional scale (LEFS) questionnaire. Patient satisfaction for aesthetic outcome was obtained with a 5-point Likert scale (from very poor to excellent). Results In the propeller flap group, the ROMs of hip and knee and the LEFS score were significantly higher. At 12-month follow-up, in the graft group, 23 patients reported tension, 19 numbness, 16 paresthesia, 22 reduction of tactile sensitivity, and 5 alteration of gait versus only 5 patients experienced paresthesia and 7 reduction of tactile sensitivity in the propeller flap group. The satisfaction for aesthetic outcome was significantly higher in the propeller flap group. Conclusion In high-tension ALT donor-site closure, the propeller perforator flap should always be considered to avoid split-thickness skin graft with related functional and aesthetic poor results.

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