Use of Foam Bolsters for Securing Facial Skin Grafts

1998 ◽  
Vol 77 (6) ◽  
pp. 490-492 ◽  
Author(s):  
Richard K. Caldwell ◽  
William C. Giles ◽  
Paul T. Davis

Many methods of securing skin grafts to their recipient beds have been described. A review of the senior author's experience with facial skin cancers over a two-year period revealed that reconstruction with full-thickness skin grafts was employed in 60 of more than 500 cases. This series of 60 cases was reviewed. Use of foam as a bolster has proven to be a simple, time-conserving and reliable technique that produces consistently excellent results with a low complication rate. The technique is reviewed, along with its advantages and disadvantages.

2018 ◽  
Vol 22 (6) ◽  
pp. 602-606 ◽  
Author(s):  
William Kromka ◽  
Michael Cameron ◽  
Ramin Fathi

Background: Full-thickness skin grafting is a well-established technique in the reconstruction of various tissue defects and wounds. However, lack of uniformity in the procedure of closing and securing the grafts has led to a wide range of different techniques. Objective: This article reviews the use of tie-over bolster dressings compared to basting sutures for the fixation and postsurgical immobilization of full-thickness skin grafts (FTSGs), discusses details of each method, and proposes a practice guideline for the closure of FTSGs. Methods: A traditional review of the literature was performed through a search of PubMed using the following keywords: full-thickness skin graft, FTSG, closure, suture, tie-over bolster, quilting, and bolster. Results: The current literature regarding tie-over bolster dressings does not demonstrate improved outcomes compared to quilting sutures. The 2 techniques appear equivalent in terms of utility and outcome, both possessing distinct advantages and disadvantages. Conclusion: Despite minimal head-to-head studies between tie-over bolsters and quilting, the best evidence from the literature appears to show comparable results regarding graft take, cosmetic outcomes, and postoperative complications. Ultimately, the choice of using a tie-over bolster technique or quilting sutures relies on surgeon preference and anatomic location.


2005 ◽  
Vol 31 (12) ◽  
pp. 1707-1709 ◽  
Author(s):  
Amy R. Brackeen ◽  
Michael J. Wells ◽  
Jeff M. Freed

2012 ◽  
Vol 23 (4) ◽  
pp. 1196-1197
Author(s):  
Russell James Bramhall ◽  
Mark Gorman ◽  
Muhammad Adil Abbas Khan ◽  
Muhammad Riaz

1989 ◽  
Vol 15 (11) ◽  
pp. 1178-1183 ◽  
Author(s):  
MICHAEL J. MULVANEY ◽  
STUART J. SALASCHE ◽  
WILLIAM J. GRABSKI

1994 ◽  
Vol 102 (5) ◽  
pp. 781-788 ◽  
Author(s):  
John P Sundberg ◽  
Robert W Dunstan ◽  
Wesley G Beamer ◽  
Dennis R Roop

2021 ◽  
Vol 85 (3) ◽  
pp. AB110
Author(s):  
Joyce Chen ◽  
Nikita Gupta ◽  
Collin M. Costello ◽  
Carolyn Mead-Harvey ◽  
Katie L. Kunze ◽  
...  

2021 ◽  
Vol 47 (8) ◽  
pp. 1135-1137
Author(s):  
Frank W. de Jongh ◽  
Sjaak Pouwels ◽  
Christien Weenen ◽  
Willem A. van den Bosch ◽  
Dion Paridaens

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