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

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 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.

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.

KARSINOMA SEL BASAL NODULOULSERATIF YANG DITERAPI DENGAN EKSISI, FLAP ROTASI DAN SKIN GRAFT

2019 ◽  
Vol 46 (4) ◽  
Author(s):  
Hayra Diah Avianggi ◽  
Intan Nurmawati Putri ◽  
Muslimin ◽  
Retno Indar Widayati
Keyword(s):  
Skin Graft

Karsinoma sel basal (KSB) tercatat sebanyak 75% dari semua kanker kulit. Data epidemiologis dunia menunjukkan peningkatan insidensi KSB 3-10% dalam setahun, hal ini diduga berkaitan dengan penipisan lapisan ozon (2% dalam 20 tahun terakhir) dan perubahan gaya hidup. Karsinoma sel basal (KSB) dapat menyebabkan cacat kosmetik maupun cacat fungsional sehingga diperlukan diagnosis dini dan penatalaksanaan yang tepat. Seorang perempuan 72 tahun, dengan keluhan benjolan yang semakin membesar kemudian menjadi borok di pelipis kiri sejak satu tahun. Riwayat sering terpajan sinar matahari. Pada pemeriksaan fisik ditemukan ulkus dengan diameter 3 cm dan krusta. Temuan histopatologik menunjukkan sel ganas dengan inti hiperkromatik dan tepi palisade. Penatalaksanaan dengan bedah eksisi, flap rotasi dan skin graft. KSB jarang bermetastasis, namun dapat mendestruksi jaringan di dekatnya. Studi epidemiologi memberikan fakta bahwa patogenesis KSB dapat terjadi melalui efek imunologik dan karsinogenik. Gambaran histopatologik penting untuk menentukan varian KSB. Prognosis quo ad vitam bonam, ad sanam dubia ad bonam, ad kosmetikam dubia ad bonam.Kata kunci: Bedah eksisi, flap rotasi, karsinoma sel basal, skin graft

Sign in / Sign up

Export Citation Format

Share Document