Browse > Article

Split-thickness Skin Graft on the Face from the Medial Arm Skin  

Moon, Seong Won (Department of Plastic and Reconstructive Surgery, Chonnam University Medical School)
Noh, Bok Kyun (Department of Plastic and Reconstructive Surgery, Chonnam University Medical School)
Kim, Eui Sik (Department of Plastic and Reconstructive Surgery, Chonnam University Medical School)
Hwang, Jae Ha (Department of Plastic and Reconstructive Surgery, Chonnam University Medical School)
Lee, Sam Yong (Department of Plastic and Reconstructive Surgery, Chonnam University Medical School)
Publication Information
Archives of Plastic Surgery / v.34, no.1, 2007 , pp. 70-76 More about this Journal
Abstract
Purpose: Full-thickness skin grafts are usually used in facial reconstruction, but on occasion, split-thickness skin graft is also used from the scalp due to the limitation of donor site. However, there were complications, such as alopecia, folliculitis and blood loss. In addition, it can not be used in patients with baldness. Under the circumstances, we used medial arm skin as split-thickness skin graft donor site in lieu of scalp. We investigated the efficacy of the medial arm skin as a donor site of facial skin graft in comparison with scalp. Methods: From 2000 to 2005, the split-thicknesss skin grafts were performed using the medial arm skin in 10 patients and the scalp in 10 patients. We inspected the skin color match, texture match by the visual analogue scale. Scar contracture was estimated by the Visitrak $grade^{(R)}$(Smith & Nephew). The statistical analysis was performed by SPSS 12.0. Results: There was a more satisfaction in color match, texture, and scar contracture in medial arm skin than in scalp. Conclusion: According to these results, medial arm skin may be used efficiently as an alternative donor site of scalp in the facial reconstruction.
Keywords
Split-thickness skin graft; Medial arm skin; Scalp; Face;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Lee JG, Kim JC, Ham KS: Comparative study of donor site regeneration. J Korean Soc Plast Reconstr Surg 9: 301, 1982
2 Lee YH, Eun HC: Topical chemotherapy of hyperpigmentation in plastic & reconstructive surgical patients. J Korean Soc Plast Reconstr Surg 12: 519, 1985
3 White N, Hettiaratchy S, Papini RP: The choice of splitthickness skin graft donor site: patients' and surgeons' preferences. Plast Reconstr Surg 112: 933, 2003
4 Burm JS, Lee JW, Jung CH, Oh SJ: Dermabrasion and autologous epidermal grafting for the treatment of hyperpigmentation and irregular surface of grafted skin. J Korean Soc Plast Reconstr Surg 23: 673, 1996
5 Chi YH, Kim SW, Cho SH, Lee HB, Shin KS: The treatment of vitiligo with thin split thickness skin graft after dermabrasion. J Korean Soc Plast Reconstr Surg 23: 1490, 1996
6 Hallock GG: The cosmetic split-thickness skin graft donor site. Plast Reconstr Surg 104: 2286, 1999
7 Seo JS, Kim DJ, Kim HD, Rah BJ: Histological layers image analysis morphometry scalp skin. Korean J Anat 28: 403, 1995
8 Lee JJ, Chun IK, Ki YR: A study of skin thickness in Korea. Korean J Dennatol 24: 469, 1986
9 Kim JH, Baek RM, Oh KS, Choe J, Baek SM: Clinical experience on split thickness skin graft from the scalp. J Korean Soc Plast Reconstr Surg 19: 959, 1992
10 Kararnursel S, Bagdatli D, Demir Z, Tuccar E, Celebioglu S: Use of mernal arm skin as a free flap. Plast Reconstr Surg 115: 2025, 2005   DOI   ScienceOn
11 Lee YJ, Lee YH, Kim CW, Lee BL, Cha CI, Cho SS: Experimental study on the hyperpigmention of the skin graft. J Korean Soc Plast Reconstr Surg 15: 433, 1988
12 Lee SY, Kim DY, Park HM, Cho BH, Choi SH: Clinical experience of scalp split-thickness skin graft and histologic study of donor site re-epithelization. J Korean Soc Plast Reconstr Surg 17: 102, 1990