대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)

  • 제24권2호
  • /
  • Pages.66-72
  • /
  • 2023
  • /
  • 2287-1152(pISSN)
  • /
  • 2287-5603(eISSN)
대한두개안면성형외과학회 (Korean Cleft Palate-Craniofacial Association)
권호 표지
DOI QR코드

DOI QR Code

Is the retroauricular region a suitable donor site for full-thickness skin grafting in the era of mask wearing?

  • Yoon Soo Kim (Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine) ;
  • Jeong Jin Park (Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine) ;
  • Hyung Suk Yi (Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine) ;
  • Jin Hyung Park (Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine) ;
  • Hong Il Kim (Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine)
  • 투고 : 2023.03.31
  • 심사 : 2023.04.19
  • 발행 : 2023.04.20
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: During the coronavirus disease 2019 (COVID-19) pandemic, the everyday use of face masks massively increased to prevent the spread of infection. Many people complain of ear pain and erosion when wearing a mask for extended periods of time. If prolonged mask usage is uncomfortable for ordinary people, a question arises-how much more inconvenient must mask wearing be for patients with a full-thickness skin graft (FTSG) donor site in the retroauricular region? Herein, we evaluated complications related to face mask use in 27 patients with a retroauricular FTSG donor site, with the goal of clarifying whether the retroauricular region is still an appropriate FTSG donor site in the context of the COVID-19 pandemic. Methods: Complications in 27 patients treated by FTSGs harvested from the retroauricular region from 2019 to 2021 were investigated. A questionnaire comparing the normal and the operated sides was administered. Pain, itching, soreness, deformity, and symmetry were further investigated. Results: Pain and itching were the only observed complications. The operated side was slightly more painful than the normal side in four patients (14.8%), and four patients (14.8%) reported itching on the operated side. However, all patients who experienced complications stated that the pain or itching did not interfere with mask wearing. Most symptomatic patients were older than 60 years of age (23.8%, p= 0.185) and wore masks for longer periods of time (28.5%, p= 0.326). Conclusion: Few retroauricular donor site-related complications occurred, and none of these complications caused inconvenience in daily life. Therefore, in the COVID-19 pandemic, the use of the retroauricular region as an FTSG donor site remains appropriate.

키워드

과제정보

This study was supported by a National Research Foundation of Korea (NRF) grant funded by the Korean government (MSIT) (No. 2020R1G1A1007678).

참고문헌

  1. Ortega R, Gonzalez M, Nozari A, Canelli R. Personal protective equipment and Covid-19. N Engl J Med 2020;382:e105.
  2. Yu JN, Wu BB, Feng LP, Chen HL. COVID-19 related pressure injuries in patients and personnel: a systematic review. J Tissue Viability 2021;30:283-90.
  3. Gyapong F, Debrah E, Oforiwaa M, Isawumi A, Mosi L. Challenges and adverse effects of wearing face masks in the COVID-19 era. Challenges 2022;13:67.
  4. Ziede E, Orellana E, Tejos R, Olivera M, Searle S. Pressure ulcers: the last mile in the COVID-19 road. Arch Plast Surg 2022;49:137-8. https://doi.org/10.5999/aps.2021.01354
  5. Lam UN, Md Mydin Siddik NSF, Mohd Yussof SJ, Ibrahim S. N95 respirator associated pressure ulcer amongst COVID-19 health care workers. Int Wound J 2020;17:1525-7. https://doi.org/10.1111/iwj.13398
  6. Jiang Q, Liu Y, Wei W, Zhu D, Chen A, Liu H, et al. The prevalence, characteristics, and related factors of pressure injury in medical staff wearing personal protective equipment against COVID-19 in China: a multicentre cross-sectional survey. Int Wound J 2020;17:1300-9. https://doi.org/10.1111/iwj.13391
  7. Yoon YS, Chung CH, Min KH. Effects of COVID-2019 on plastic surgery emergencies in Korea. Arch Craniofac Surg 2021;22:99-104. https://doi.org/10.7181/acfs.2021.00017
  8. Lee KS, Kim JO, Kim NG, Lee YJ, Park YJ, Kim JS. A comparison of the local flap and skin graft by location of face in reconstruction after resection of facial skin cancer. Arch Craniofac Surg 2017;18:255-60. https://doi.org/10.7181/acfs.2017.18.4.255
  9. Kang JK, Lee JS, Yun BM, Shin MS. Usefulness of full-thickness skin grafting from the infraclavicular area for facial reconstruction. Arch Craniofac Surg 2020;21:357-62. https://doi.org/10.7181/acfs.2020.00479
  10. Fatema A, Nayef L, Pradeoth M. Post-auricular full thickness skin graft by M-plasty technique: An alternative to classical elliptical technique. Bahrain Med Bull 2017;39:66-8. https://doi.org/10.12816/0047481
  11. Hexsel CL, Loosemore M, Goldberg LH, Awadalla F, Morales-Burgos A. Postauricular skin: an excellent donor site for split-thickness skin grafts for the head, neck, and upper chest. Dermatol Surg 2015;41:48-52. https://doi.org/10.1097/DSS.0000000000000218
  12. Suh JM, Uhm KI. Change in nostril ratio after cleft rhinoplasty: correction of nostril stenosis with full-thickness skin graft. Arch Craniofac Surg 2021;22:85-92. https://doi.org/10.7181/acfs.2021.00010
  13. Johnson TM, Ratner D, Nelson BR. Soft tissue reconstruction with skin grafting. J Am Acad Dermatol 1992;27(2 Pt 1):151-65. https://doi.org/10.1016/0190-9622(92)70164-B
  14. Kim HI, Lee SH, Hwang SM, Jung YH, Kim HD. The usefulness of retroauricular full thickness skin graft in hand reconstruction. J Korean Soc Surg Hand 2014;19:109-15. https://doi.org/10.12790/jkssh.2014.19.3.109
  15. Boyko TV, Longaker MT, Yang GP. Review of the current management of pressure ulcers. Adv Wound Care (New Rochelle) 2018;7:57-67. https://doi.org/10.1089/wound.2016.0697
  16. Farrukh O, Goutos I. Scar symptoms: pruritus and pain. In: Teot L, Mustoe TA, Middelkoop E, Gauglitz GG. editors. Textbook on scar management. 2020. p. 87-101.
  17. Barrett G, Koecher S, Ronan N, Whinney D. Patient satisfaction with postaural incision site. Int J Otolaryngol 2014;2014:851980.
  18. Gefen A, Ousey K. Update to device-related pressure ulcers: SECURE prevention. COVID-19, face masks and skin damage. J Wound Care 2020;29:245-59. https://doi.org/10.12968/jowc.2020.29.5.245
  19. Rohrich RJ, Abraham JT, Alleyne B, Bellamy J. Rhinoplasty in the COVID-19 era: practice and safety considerations. Plast Reconstr Surg 2022;150:1259e-1263e. https://doi.org/10.1097/PRS.0000000000009720
  20. Cho JM, Jeong JH, Woo KV, Lee YH. Versatility of retroauricular mastoid donor site: a convenient valuable warehouse of various free graft tissues in cosmetic and reconstructive surgery. J Craniofac Surg 2013;24:e486-90. https://doi.org/10.1097/SCS.0b013e3182903543