A Novel Method of Dermis Graft for Better Outcome
Journal of the Korean Society of Plastic and Reconstructive Surgeons
; : 341-346, 2006.
Article
in Ko
| WPRIM
| ID: wpr-102603
Responsible library:
WPRO
ABSTRACT
The two major concerns in skin grafting are poor color match in the recipient site and the donor site morbidity. A new skin graft(dermis graft; deepithelialized split thickness skin graft), was used to minimize these problems. The important aspects of this method involve immediate return of epidermis to the donor site and restoration of the recipient site's epidermis by inducing epithelialization from adjacent skin. From April of 2001 to March of 2004, dermis graft and a conventional split thickness skin graft(STSG) were performed in 53 and 33 patients, respectively. The healing time, the scar condition, and the patients' satisfaction were compared. Regarding the recipient sites, the wounds of the dermis graft(n=53) and STSG(n=33) had reepithelialized after 15.5+/-1.9 and 11.8+/-1.6 days, respectively. The scarring were less severe on the dermis graft in terms of pigmentation, height, and vascularity(p<0.05). No significant difference in pliability was detected. The patients' satisfaction with the dermis graft was also better. Concerning the donor sites, the wounds healed within 7.5+/-0.8 and 12.8+/-1.1 days, respectively. In terms of scar quality and patients' satisfaction, the dermis graft(n=26) showed better results. The dermis graft is superior to conventional STSG both aesthetically and functionally in both the recipient and donor sites.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Skin
/
Tissue Donors
/
Wounds and Injuries
/
Pigmentation
/
Cicatrix
/
Skin Transplantation
/
Pliability
/
Transplants
/
Dermis
/
Epidermis
Limits:
Humans
Language:
Ko
Journal:
Journal of the Korean Society of Plastic and Reconstructive Surgeons
Year:
2006
Type:
Article