scholarly journals Minimalistic reconstruction of exposed skull in a complex craniovertebral polytrauma

2021 ◽  
Vol 12 ◽  
pp. 248
Author(s):  
Srinjoy Saha
Keyword(s):  
Local Anesthesia ◽  
Soft Tissues ◽  
Platelet Rich Plasma ◽  
Skin Grafting ◽  
Long Term Results ◽  
Soft Tissue Thickness ◽  
Split Skin Grafting ◽  
Split Skin ◽  
Skull Bones

Background: In stable craniovertebral injuries complicated by polytrauma, rigorous spinal immobilization is essential for neuroprotection. Scalp and forehead reconstruction in these circumstances are safest when performed under local anesthesia, maintaining cervical immobilization. Case Description: A sizeable 10 × 6.5 cm forehead defect was reconstructed utilizing regenerative principles under local anesthesia and sedation in a 54-year-old woman. After adequate debridement of gangrenous soft tissues, exposed outer skull bones were trephined, forehead defect covered with a synthetic biomaterial, and the patient was discharged thereafter. Granulating neodermis regenerated within the biomaterial over the next 6 weeks. Weekly platelet-rich plasma injections along the wound margins facilitated wound regeneration. Dimensions reduced by two-thirds to 6.5 × 3.5 cm with wound regeneration and contraction, while granulating neodermis covered the remaining skull-bones. Split skin-grafting over the neodermis ensured satisfying long-term results, with similar color, texture, soft-tissue thickness, and sensation. Multiple occipitocervical, spinal, scapular, and rib fractures healed well with strict immobilization. Conclusion: Good long-term results were achieved with significantly reduced dangers, complications, hospitalization, and costs than traditional reconstructive flap surgeries. Minimalistic reconstruction utilizing tissue engineering and regenerative medicine principles appears beneficial for patients with grave spinal injuries.

scholarly journals Patient-reported scar quality of donor-sites following split-skin grafting in burn patients: Long-term results of a prospective cohort study

Burns ◽  
2020 ◽  
Author(s):  
Catherine M. Legemate ◽  
Pauline J. Ooms ◽  
Nicole Trommel ◽  
Esther Middelkoop ◽  
Margriet E. van Baar ◽  
...  
Keyword(s):  
Cohort Study ◽  
Skin Grafting ◽  
Long Term Results ◽  
Burn Patients ◽  
Split Skin Grafting ◽  
Patient Reported ◽  
Scar Quality ◽  
Split Skin

Long-Term Results of Split-Skin Grafting in Combination with Excimer Laser for Stable Vitiligo

2010 ◽  
Vol 36 (4) ◽  
pp. 499-505 ◽  
Author(s):  
Nawaf Al-Mutairi ◽  
Yashpal Manchanda ◽  
Azari Al-Doukhi ◽  
Ahmad Al-Haddad
Keyword(s):  
Excimer Laser ◽  
Skin Grafting ◽  
Long Term Results ◽  
Split Skin Grafting ◽  
Split Skin

The long term results of intra-oral split-skin grafting

1983 ◽  
Vol 72 (3) ◽  
pp. 426
Author(s):  
Colin R. Rayner ◽  
E. Freedlander ◽  
L. R. Scheker
Keyword(s):  
Skin Grafting ◽  
Long Term Results ◽  
Split Skin Grafting ◽  
Split Skin

scholarly journals Comparative study on management of diabetic ulcer with platelet-rich plasma and conventional dressing

2020 ◽  
Vol 7 (12) ◽  
pp. 4148
Author(s):  
Uma Dhanasekaran ◽  
Ramesh Arumugam ◽  
Latha Jayasubramaniyar
Keyword(s):  
Hospital Stay ◽  
Wound Dressing ◽  
Platelet Rich Plasma ◽  
Skin Grafting ◽  
Necrotic Tissue ◽  
Diabetic Ulcer ◽  
Wound Debridement ◽  
Duration Of Hospital Stay ◽  
Split Skin Grafting ◽  
Split Skin

Background: About 15% of diabetic patients will develop a chronic ulcer, and about 25% of those will have to undergo foot amputation. Despite evidence of the effectiveness of autologous protein C (PC) in diabetic ulcers, efficacy and feasibility of this treatment in the general population remain unclear. Aim of the study was to compare the efficiency of management of diabetic ulcer with platelet-rich plasma (PRP) and conventional dressing.Methods: A total of 40 patients who divided into two groups: group I comprising 20 patients received homologous platelet concentrate and group II comprising 20 patients received conventional wound dressing, and the results had statistically discussed.Results: Out of total 40 patients, 20 received homologous platelet dressings, and the 20 patients received conventional moist wound dressings. 7 patients had operated for split skin grafting, 7 patients had 0-10% of the area covered with necrotic tissue, mean duration of hospital stay was 18 days, mean duration of wound debridement was 3 days and mean number of wound dressing was 6. In conventional wound dressing group, 15 patients had operated for split skin grafting, 4 patients had 0-10% of the area covered with necrotic tissue, mean duration of hospital stay was 39 days, mean duration of wound debridement was 18 days and mean number of wound dressing was 48.Conclusions: Patients operated for split skin grafting, number of wound debridement, duration of hospital stay, and duration of wound debridement, necrotic tissue coverage was less in platelet group compared to the conventional wound dressing.

Long-term Results of Mucosal Advancement Flap Combined With Platelet-rich Plasma for High Cryptoglandular Perianal Fistulas

2014 ◽  
Vol 57 (2) ◽  
pp. 223-227 ◽  
Author(s):  
Kevin W. Göttgens ◽  
Wouter Vening ◽  
Stefan J. van der Hagen ◽  
Wim G. van Gemert ◽  
Reinier R. Smeets ◽  
...  
Keyword(s):  
Platelet Rich Plasma ◽  
Advancement Flap ◽  
Long Term Results ◽  
Perianal Fistulas

MANAGEMENT OF POST BURN CONTRACTURE OF NECK IN A TERTIARY BURN CARE CENTRE

2021 ◽  
pp. 33-35
Author(s):  
Nangineedi Nagaprasad ◽  
Karthik G B
Keyword(s):  
Surgical Planning ◽  
Skin Grafting ◽  
Burn Care ◽  
Split Skin Grafting ◽  
Contracture Release ◽  
Common Problems ◽  
A Prospective Study ◽  
Split Skin ◽  
Burn Contractures

Background: Post burn contracture is one of the most common problems in our country and usually seen in lower socio-economic people. Burn contractures of the neck can produce a signicant impact on quality of life by reducing a patient's ability to perform activities of daily living Methods: A prospective study was conducted with a sample size of 30 patients with post burn neck contracture conducted for a duration of 24 months. After meticulous surgical planning, patients underwent contracture release and split skin grafting/z-plasty followed by rigorous splintage and physiotherapy. Majority of the patients were in the age group of 11-30 years (63%).70% of the Results: patients sustained burns in the range of 21-40% and 80% were due to ame burns.46.66% (14) of patients had severe contracture while 13.33% (4) had extensive mento-sternal adhesions. 90% of the patients underwent release + SSG while 10% underwent z-plasty. Postoperatively cervico-mental angle of 100-120 degrees was achieved Skin grafting is a simple, reliable and safe operation however postoperative splinting is n Conclusion: ecessary. The use of skin grafts continues to deliver excellent results with adequate restoration of cervico-mental angle.

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