Nipple and Areolar Reconstruction with Tattoo Pigments, Grafts and Local Flaps

1993 ◽  
Vol 1 (2) ◽  
pp. 84-90 ◽  
Author(s):  
John M Drever
Keyword(s):  
Skin Graft ◽  
Local Flaps ◽  
Thin Skin ◽  
Initial Procedure ◽  
Reconstructed Breast

JM Drever. Nipple and areolar reconstruction with tattoo pigments, grafts and local flaps. Can J Plast Surg 1993;1(2):84-90. In order to obtain symmetry when reconstructing the nipple and areola, the breast mounds are worked on first. Having reconstructed one side, the volume and shape of the opposite breast is modified as needed; then the areola can best be imitated on the reconstructed breast by placing tattoo pigments on the dermis of a thin skin graft. If the areola that is to be matched is light in colour, it is preferable to tattoo the skin directly. This is done as the initial procedure, as an improvement or as ‘maintenance’ to an already tattooed areola. The nipple reconstructed by grafting part of the opposite nipple or section of areola produces the most natural looking results. Another method involves lifting a tulip-shaped, centrally based dermis flap and then covering the areola and this flap with a thin skin graft with tattoo pigments smeared on its dermis. A nipple is made of the breast skin when the mound is revised by taking a segment off its lower quadrants.

scholarly journals The use of a dermal substitute and thin skin graft in the cure of lower limbs wounds from vasculitis: observational study

2010 ◽  
Vol 10 (S1) ◽  
Author(s):  
V Padovano Sorrentino ◽  
A Della Corte ◽  
F Campitiello ◽  
F Freda ◽  
P Petronella ◽  
...  
Keyword(s):  
Observational Study ◽  
Skin Graft ◽  
Lower Limbs ◽  
Dermal Substitute ◽  
Thin Skin

scholarly journals Skin Graft Versus Local Flaps in Management of Post-burn Elbow Contracture

Cureus ◽  
2021 ◽  
Author(s):  
Mohamed Issa ◽  
Marwa Badawi ◽  
George Bisheet ◽  
Mahmoud Makram ◽  
Abdelhamed Elgadi ◽  
...  
Keyword(s):  
Skin Graft ◽  
Local Flaps ◽  
Elbow Contracture

262 DORSAL INLAY THIN-SKIN GRAFT FOR ANTERIOR URETHRAL RECONSTRUCTION WITH A FOLLOW-UP OF 3 YEARS

2010 ◽  
Vol 9 (2) ◽  
pp. 110
Author(s):  
P. Rehder ◽  
M.J. Mitterberger ◽  
R. Pichler ◽  
A. Kerschbaumer ◽  
F. Frauscher
Keyword(s):  
Skin Graft ◽  
Urethral Reconstruction ◽  
Thin Skin

Rapid onset of squamous cell carcinoma in a thin skin graft donor site

2016 ◽  
Vol 143 (6-7) ◽  
pp. 457-461 ◽  
Author(s):  
C. Herard ◽  
D. Arnaud ◽  
D. Goga ◽  
P. Rousseau ◽  
B. Potier
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Skin Graft ◽  
Donor Site ◽  
Rapid Onset ◽  
Thin Skin ◽  
Graft Donor

scholarly journals Penile Reconstruction with Skin Grafts and Dermal Matrices: Indications and Management

2017 ◽  
Vol 05 (01) ◽  
pp. e47-e50 ◽  
Author(s):  
Paloma Triana Junco ◽  
Mariela Dore ◽  
Vanesa Nuñez Cerezo ◽  
Javier Jimenez Gomez ◽  
Miriam Miguel Ferrero ◽  
...  
Keyword(s):  
Skin Graft ◽  
Split Thickness Skin Graft ◽  
Skin Grafts ◽  
Full Thickness ◽  
Local Flaps ◽  
Penile Shaft ◽  
Reconstructive Procedures ◽  
Thickness Skin ◽  
First Choice ◽  
Dermal Matrices

Introduction The penis eventually needs specific cutaneous coverage in the context of reconstructive procedures following trauma or congenital anomalies. Local flaps are the first choice but are not always available after multiple previous procedures. In these cases, skin graft and dermal matrices should be considered. Materials and Methods This study was a retrospective review of the past 4 years of four patients with severe loss of penile shaft skin who underwent skin reconstruction. Dermal matrices and skin grafts were utilized. Dermal matrices were placed for a median of 4.5 weeks (3.0–6.0 weeks). The skin graft was harvested from the inner thigh region for split-thickness skin graft (STSG) and the inguinal region for full-thickness skin graft (FTSG). Results The four patients presented with complete loss of skin in the penile shaft. One patient had a vesical exstrophy, one had a buried penis with only one corpus cavernosum, one had a wide congenital lymphedema of the genitalia, and one had a lack of skin following circumcision at home. They underwent reconstruction with three patients undergoing split-thickness skin graft; two dermal matrices; and one full-thickness graft, respectively, thereby achieving a good cosmetic and functional result. There were no complications, and all the patients successfully accepted the graft. Conclusion Dermal matrices and skin grafts may serve as effective tools in the management of severe penile skin defects unable to be covered with local flaps.

scholarly journals Coverage in head and neck malignancies; our institutional experience

2018 ◽  
Vol 5 (12) ◽  
pp. 3799
Author(s):  
Milind A. Mehta ◽  
Vikrant Ranjan ◽  
Prayas Kumar ◽  
Pradnya Sarwade
Keyword(s):  
Head And Neck ◽  
Skin Graft ◽  
Split Thickness Skin Graft ◽  
Full Thickness ◽  
Local Flaps ◽  
Full Thickness Skin Graft ◽  
Immediate Reconstruction ◽  
Muscle Flaps ◽  
Full Thickness Skin ◽  
Thickness Skin

Background: Cancer of the head and neck can have a major impact on patients. It is vitally important that the surgeon appreciate the anatomy of the head and neck, the varieties of tumours and their metastatic patterns of spread, the ablative techniques, the adjunctive treatments, and the potential need for reconstruction. The obvious advantages to immediate reconstruction of a defect after ablation of a tumor have been recognized for more than 3 decades and are still valid today.Methods: Those patients who required reconstructive management were included in the study. The patients with head and neck malignancy were operated in association with ENT surgeon’s team or Onco-surgery team. Reconstruction of the defect was done by Plastic Surgeons.Results: In this series various types of reconstructive methods ranging from Split thickness skin graft, full thickness skin graft, fasciocutaneous flaps, fascial flaps, muscle flaps and musculo-cutaneous flaps were used. The defects were primarily sutured in 11% patients. The defects were covered with split thickness skin graft in 6.6% patients. Full thickness skin graft was used in 8.8% patients. Local flaps were used in 6.6% and loco regional flaps were used in 60% for coverage of head and neck defects. Free flaps were used in 6.6% of patients.Conclusions: The study concluded that for management of such defects local flaps were reliable, quick to execute, and capable of covering large defects. It provides skin of excellent colour and texture, and most of the scars are hidden in natural skin folds.

Alloderm? and thin skin graft after scar shaving and release in post-burn scar contracture

Burns ◽  
2007 ◽  
Vol 33 (1) ◽  
pp. S76
Author(s):  
S.J. Oh ◽  
Y.C. Jang ◽  
J.W. Lee ◽  
D.K. Seo ◽  
J.H. Koh
Keyword(s):  
Skin Graft ◽  
Burn Scar ◽  
Scar Contracture ◽  
Thin Skin

Acellular fish skin matrix on thin-skin graft donor sites: a preliminary study

2019 ◽  
Vol 28 (9) ◽  
pp. 624-628 ◽  
Author(s):  
Nathalie Badois ◽  
Pierre Bauër ◽  
Maxime Cheron ◽  
Caroline Hoffmann ◽  
Marguerite Nicodeme ◽  
...  
Keyword(s):  
Head And Neck ◽  
Skin Graft ◽  
Free Flap ◽  
Objective Assessment ◽  
Donor Site ◽  
Healing Time ◽  
Split Thickness Skin Graft ◽  
Visual Analogue Pain Scale ◽  
Fish Skin ◽  
Thin Skin

Objective: Surgery for head and neck cancer often requires free flap reconstructions, whose harvesting site often requires a thin-skin graft. Wounds from the thin-skin donor site are comparable to an intermediate or deep second-degree burn. This is uncomfortable and can lead to complications such as a long healing time, local infections and pain. Since they are reproducible, these wounds may serve as a model for an objective assessment of new healing medical devices. The acellular fish skin matrix is a new medical device designed to improve healing quality and time. Methods: We compared the outcomes between standard procedure and the use of this matrix placed on the split-thickness skin graft (STSG) donor site, in patients operated on in our centre for radial forearm free flap reconstruction for head and neck wounds. Results: There were 21 patients included. The healing time was halved when using the acellular fish skin matrix, from 68 to 32 days on average. Acellular fish skin matrix reduced pain levels and local infection. The visual analogue pain scale (VAS) was ≥3 at five days (p=0.0034) and infection rate reduced from 60% to 0% (p=0.0039). Conclusion: These results are extremely encouraging. However, it is important to take into account the relatively high cost of this matrix for its future indications. A larger study including an overall cost estimation and an assessment on different wound types would be interesting, to better target the indications of the acellular fish skin matrix.

scholarly journals Treatment of Deliberate Self-harm Scars with Rotated Thin-skin Graft and Minced-skin Graft

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kento Takaya ◽  
Ruka Hayashi ◽  
Noriko Aramaki-Hattori ◽  
Keisuke Okabe ◽  
Shigeki Sakai ◽  
...  
Keyword(s):  
Skin Graft ◽  
Deliberate Self Harm ◽  
Thin Skin ◽  
Self Harm

The internal structure of medullated wool

1984 ◽  
Vol 42 ◽  
pp. 388-389
Author(s):  
Leo Barish
Keyword(s):  
Light Microscopy ◽  
Internal Structure ◽  
Wool Fiber ◽  
Guard Hair ◽  
Bright Field ◽  
Wool Fibers ◽  
Thin Skin ◽  
Air Pockets

Although most of the wool used today consists of fine, unmedullated down-type fibers, a great deal of coarse wool is used for carpets, tweeds, industrial fabrics, etc. Besides the obvious diameter difference, coarse wool fibers are often medullated.Medullation may be easily observed using bright field light microscopy. Fig. 1A shows a typical fine diameter nonmedullated wool fiber, Fig. IB illustrates a coarse fiber with a large medulla. The opacity of the medulla is due to the inability of the mounting media to penetrate to the center of the fiber leaving air pockets. Fig. 1C shows an even thicker fiber with a very large medulla and with very thin skin. This type of wool is called “Kemp”, is shed annually or more often, and corresponds to guard hair in fur-bearing animals.

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