scholarly journals Partial salvage of avulsed tissue after dog bite

2016 ◽  
Vol 98 (2) ◽  
pp. e22-e25 ◽  
Author(s):  
JS Øregaard ◽  
CL Lang ◽  
A Venzo
Keyword(s):  
Skin Necrosis ◽  
Full Thickness ◽  
Dog Bite ◽  
Full Thickness Skin Graft ◽  
Venous Anastomosis ◽  
Acceptable Result ◽  
Thickness Skin ◽  
The Face ◽  
Arterial Anastomosis

Injuries to the nose can be severe from both a functional and cosmetic perspective. After suffering a dog bite to the central part of the face, an 18-year old woman underwent replantation of the avulsed tissue with the help of microsurgical arterial anastomosis. A venous anastomosis was impossible and venous congestion was treated with leech therapy. Subsequent skin necrosis occurred after a few days and the replantation was revised, revealing healthy tissue immediately below. The defect was covered with a full-thickness skin graft. At follow-up review eight months later, the functional and cosmetic result was satisfactory. To our knowledge, this is one of few cases where an injury of this severity healed with a cosmetically acceptable result.

scholarly journals Autologous full-thickness skin graft as reinforcement in parastomal hernia repair: a feasibility study

2020 ◽  
Author(s):  
V. Holmdahl ◽  
U. Gunnarsson ◽  
K. Strigård
Keyword(s):  
Hernia Repair ◽  
Skin Graft ◽  
Parastomal Hernia ◽  
Complication Rates ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Parastomal Hernia Repair

Abstract Background Parastomal hernia is a common complication of stoma formation and the methods of repair available today are unsatisfactory with high recurrence and complication rates. To improve outcome after surgical repair of parastomal hernia, a surgical method using autologous full-thickness skin grafts as intraperitoneal reinforcement has been developed. The purpose of this study was to evaluate the feasibility of this novel surgical technique in the repair of parastomal hernia. Methods A pilot study was conducted between January 2018 and June 2019 on four patients with symptomatic parastomal hernia. They had a laparotomy with suture reduction of the hernia and reinforcement of the abdominal wall with autologous full-thickness skin. They were then monitored for at least 1 year postoperatively for technique-related complications and recurrence. Results No major technique-related complications were noted during the follow-up Two patients developed a recurrent parastomal hernia at the long term follow-up. The other two had no recurrence. Conclusions Autologous full-thickness skin graft as reinforcement in parastomal hernia repair is feasible and should be evaluated in a larger clinical trial.

scholarly journals Full-Thickness Skin Graft according to Surrounding Relaxed Skin Tension Line Improves Scar Quality in Facial Defect Coverage: A Retrospective Comparative Study

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Jeonghwan Shin ◽  
Uk Jang ◽  
Sang Oon Baek ◽  
Jun Yong Lee
Keyword(s):  
Skin Cancer ◽  
Soft Tissue ◽  
Defect Coverage ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Skin Tension ◽  
Scar Assessment ◽  
Thickness Skin ◽  
The Face ◽  
Scar Quality

A full-thickness skin graft (FTSG) is useful for covering small skin and soft tissue defects. In this paper, we suggest FTSG in consideration of the relaxed skin tension line (RSTL) concept for scar quality improvement since FTSG has disadvantages, including contour irregularities and mismatches of color and texture. We conducted a retrospective chart review of twenty-one patients with skin cancer on the face who underwent wide excision and FTSG by a single surgeon from October 2013 to July 2019. Twenty-one patients with skin cancer on the face were divided into RSTL-matched and RSTL-unmatched groups, and FTSG was performed. Each group was subjected to scar assessment three months after surgery. Observer assessment was performed by five independent observers using the observer component of the patient and observer scar assessment scale (POSAS) and Vancouver scar scale (VSS). Our results indicate that there were significant differences between the RSTL-matched and RSTL-unmatched groups in the VSS and POSAS components. In addition, the RSTL-matched group showed a natural appearance with surrounding tissue in the dynamic animation phase compared to the unmatched group. RSTL-matched FTSG can be an attractive option for face skin and soft tissue defect coverage. (An earlier version of this paper has been presented at the International Conference on PRS Korea 2020.)

Successful Excision of Cutaneous Horns in the Foot and Application of a Full-Thickness Pinch Skin Graft for Primary Closure

2017 ◽  
Vol 107 (2) ◽  
pp. 158-161
Author(s):  
Sanaz Lalehparvar ◽  
Ayesha Mohiuddin ◽  
Irene Labib
Keyword(s):  
Skin Graft ◽  
Sun Exposure ◽  
The Body ◽  
Full Thickness ◽  
Lateral Aspect ◽  
Cutaneous Lesions ◽  
Full Thickness Skin Graft ◽  
Thickness Skin ◽  
The Face ◽  
Cornu Cutaneum

Cutaneous horns (cornu cutaneum) are chronic, dense, hyperkeratotic cutaneous lesions resembling the horn of an animal. These lesions are associated with a variety of benign, premalignant, and malignant cutaneous diseases. Cutaneous horns are often found on the upper parts of the body, such as the face, neck, and shoulders. These lesions rarely occur in areas with no sun exposure, such as the feet. We present the case of a 51-year-old man with two cutaneous horns on the lateral aspect of the third digit of the left foot. Treatment consisted of excision of the lesions and application of a full-thickness skin graft from the ipsilateral sinus tarsi.

Dupuytren’s Contracture: A Comparative Study of Fasciectomy and Dermofasciectomy in One Hundred Patients

1984 ◽  
Vol 9 (2) ◽  
pp. 156-162 ◽  
Author(s):  
M. A. TONKIN ◽  
F. D. BURKE ◽  
J. P. W. VARIAN
Keyword(s):  
Comparative Study ◽  
Return To Work ◽  
Hand Function ◽  
Flexion Contracture ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Thickness Skin ◽  
Skin Replacement ◽  
Skin Excision

This study reviews one hundred patients with Dupuytren’s disease treated surgically by the Derby Hand Unit between January 1975 and September 1981. One hundred and twenty-eight operations were assessed with a follow-up period from nine months to ninety months, average thirty-eight months. In thirty-five patients the overlying skin was excised and replaced by a full-thickness skin graft (dermofasciectomy). The remaining patients were treated by fasciectomy without skin excision. The overall recurrence rate after surgery was found to be 46.5%. However skin excision and replacement following fasciectomy prevented any appreciable, if not all recurrence of Dupuytren’s tissue. The function of the hand was assessed with regard to the improvement in flexion contracture; ability to flex the finger to the distal palmar crease; sensibility of the replaced skin; time to return to work and full activity. It was concluded that skin replacement did not jeopardise hand function.

scholarly journals Expanded full thickness skin graft to repair scar and scar contractures: a descriptive case series

2020 ◽  
Vol 7 (11) ◽  
pp. 3778
Author(s):  
Nitin V. Ghag ◽  
Aditya Aggarwal ◽  
Hardeep Singh ◽  
Sukhdeep Singh ◽  
Sanjay Mahendru ◽  
...  
Keyword(s):  
Skin Necrosis ◽  
Case Series ◽  
Full Thickness ◽  
Skin Flaps ◽  
Effective Solution ◽  
Color Match ◽  
Full Thickness Skin Graft ◽  
Tissue Expanders ◽  
Thickness Skin ◽  
Aesthetic Aspect

Management of deep burns/trauma scars has always been a challenge. Seven patients with burn/trauma scar were treated with expanded full thickness grafts (EFTSGs). In stage one, tissue expanders were implanted at the donor sites and expansion with saline was done as an out-patient for 4-5 months. In stage two, the scar was excised and secondary wound was repaired with EFTSGs. Total of 8 EFTSGs were harvested from various donor sites. After stage one there was good blood supply noted in all the expanded skin flaps. After stage two, EFTSGs survived in all; except for partial skin necrosis in the leg of one patient. The graft take were excellent in color-match, texture and elasticity. There was a significant improvement in function and aesthetic aspect in all the cases. EFTSGs is an effective solution to repair effectively scar and scar contractures due to excellent cosmetic and functional recovery.

scholarly journals Infantile Asymmetrical Diffuse Infiltrative Lipomatosis of the Abdomen and Upper Thighs: A Case Report with Long-Term Follow-up

2020 ◽  
Vol 2 (3) ◽  
Author(s):  
Fawzy Hamza ◽  
Tarek Elbanoby ◽  
Hazem Dahshan ◽  
Amr Elbatawy
Keyword(s):  
Case Report ◽  
Body Contouring ◽  
Early Age ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Level Of Evidence ◽  
Thickness Skin ◽  
Long Term Follow Up

Abstract The authors present the case of an 11-year-old male patient with a diffuse infiltrative lipomatosis involving the abdomen, flanks, and upper thighs by applying body contouring principles at this early age. Abdominoplasty can be used in children for various purposes, including harvesting a full-thickness skin graft in burns or to treat congenital anomalies involving the pelviabdominal area. Level of Evidence: 5

Feasibility and Advantages of Full Thickness Skin Graft from the Anterolateral Thigh

2017 ◽  
Vol 22 (04) ◽  
pp. 497-502 ◽  
Author(s):  
Seung-Han Shin ◽  
Chulkyu Kim ◽  
Yong-Suk Lee ◽  
Jin-Woo Kang ◽  
Yang-Guk Chung
Keyword(s):  
Skin Graft ◽  
Donor Site ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Recipient Site ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Anterolateral Thigh ◽  
Patient Reported

Background: Full thickness skin graft (FTSG) gives better outcomes than split thickness skin graft (STSG), but it has the drawback of limited donor sites. Anterolateral thigh (ALT), a popular donor site of STSG, is also a popular donor site of perforator flaps. This area has the advantage of large flap size available with primary closure. Based on this we harvested FTSG instead of STSG from the ALT. Methods: We retrospectively reviewed 10 cases of FTSG from the ALT, with the recipient site of foot in 3, ankle in 2, lower leg in 2, forearm in 2, and wrist in 1 patient. In all cases elliptical full thickness skin was harvested from the ALT, and the donor site was closed primarily. The skin was defatted and placed onto the defect with vacuum-assisted closure (VAC). The skin size ranged 7-30 cm in length and 3–12 cm in width. Mean follow up period was 7 months (range, 3–13). Results: FTSG from the ALT provided durable wound coverage, with excellent color and texture matching. Partial (< 20%) graft failure was observed in 1 case, but no additional surgery was necessary. No patient reported donor site pain at postoperative 2 weeks. No donor site complications were encountered. No patient complained a feeling of tension in the thigh at final follow-up. Conclusions: FTSG from the ALT is feasible with the aid of VAC. Considering the skin quality, large skin size available, early pain relief, and little donor site morbidity, the ALT should be revisited as a donor site of FTSG.

Treatment of Chronic Severe Flexion Contractures of Fingers with Bilateral Side-Finger Flaps (Wing Flaps) and Full-Thickness Skin Graft

2020 ◽  
Vol 25 (04) ◽  
pp. 469-473
Author(s):  
Kawee Pataradool
Keyword(s):  
Skin Graft ◽  
Burn Injury ◽  
Hand Function ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Period Range ◽  
Flexion Contractures ◽  
Full Thickness Skin ◽  
Thickness Skin

Background: Severe flexion contractures of proximal interphalangeal joint of fingers can significantly impair hand function, typically after burn injury recovery. Extensive surgical release exposes deep vital structures, which subsequently requires significant skin coverage. The author presents the results of using bilateral side-finger flaps (wing flaps) and full-thickness skin graft for coverage of the defects. Methods: Seven patients (8 fingers) with chronic severe flexion contractures of fingers resulting from burn injury were included. Results: Mean flexion contracture and full flexion angles of the joints were improved from 84.4°/93.7° to 4.7°/92.5° at the last follow-up visit. No major complications were observed during the postoperative follow-up period (range, 6–16 months). Conclusions: This alternative surgical technique can be successfully applied for the treatment of chronic severe flexion contractures of fingers. The advantages of this approach are the use of local flaps from injured digit, and that it can be performed as a one-session procedure.

Early wound repair versus later scar repair in children with treadmill hand friction burns

2021 ◽  
Author(s):  
Rong Zhou ◽  
Lin Qiu ◽  
Jun Xiao ◽  
Xiaobo Mao ◽  
Xingang Yuan
Keyword(s):  
Skin Graft ◽  
Wound Repair ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Vacuum Sealing ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Vacuum Sealing Drainage ◽  
Repair Group ◽  
Hand Friction

Abstract The incidence of pediatric treadmill hand friction burns has been increasing every year. The injuries are deeper than thermal hand burns, the optimal treatment remains unclear. This was a retrospective study of children who received surgery for treadmill hand friction burns from January 1, 2015, to December 31, 2019, in a single burn center. A total of 22 children were surveyed. The patients were naturally divided into two groups: the wound repair group (13 patients), which was admitted early to the hospital after injury and received debridement and vacuum sealing drainage initially, and a full-thickness skin graft later; and the scar repair group (9 patients), in which a scar contracture developed as a result of wound healing and received scar release and skin grafting later. The Modified Michigan Hand Questionnaire score in the wound repair group was 116.31 ± 10.55, and the corresponding score in the scar repair group was 117.56 ± 8.85 (P&gt;0.05), no statistically significant difference. The Vancouver Scar Scale score in the wound repair group was 4.15 ± 1.21, and the corresponding score in the scar repair group was 7.22 ± 1.09 (P&lt;0.05). Parents were satisfied with the postoperative appearance and function of the hand. None in the two groups required secondary surgery. If the burns are deep second degree, third degree, or infected, early debridement, vacuum sealing drainage initially, and a full-thickness skin graft can obviously relieve pediatric pain, shorten the course of the disease, and restore the function of the hand as soon as possible.

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