An Additional Option for Split-Thickness Skin Graft Donors: The Previous Free Flap Sites
| Autor: | Sang Wha Kim, Jeong Tae Kim, Youn Hwan Kim, Seung Hyup Choi |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Soft Tissue Injuries medicine.medical_treatment Skin flap Free flap Free Tissue Flaps Split thickness skin graft Medicine Humans Local anesthesia Aged integumentary system business.industry Skin Transplantation Middle Aged Plastic Surgery Procedures Surgery Treatment Outcome Superficial Back Muscles Skin grafting Free flap reconstruction Feasibility Studies Female Healthy donor business Follow-Up Studies |
| Zdroj: | Annals of plastic surgery. 75(6) |
| ISSN: | 1536-3708 |
| Popis: | Free flap reconstruction is the best choice for soft-tissue defect. However, there are often accompanying problems such as partial flap loss, donor-site skin problems, and loss of previous skin grafts surrounding the flap site. This is especially true when dealing with multiple trauma, complex defects, and large skin flaps. Because of the simplicity of the procedure involved, split-thickness skin grafts are usually used for reconstructing skin and soft-tissue defects. These are also a good choice when there is a need for further procedures because of defects from several potential causes. Pain and the loss of healthy donor tissue are major concerns in such operations. Hence, we thought that the previous skin flap area might be a good alternative area for split-thickness skin grafts accompanying procedures subsequent to free flap reconstruction. Because this donor area is no longer sensitive, local anesthesia can be used during harvesting, and there is no loss of healthy donor tissue. Therefore, this procedure is an economical means of obtaining tissue for soft-tissue reconstruction. We describe 9 examples of flap reconstruction done in this way and suggest that this is a useful option for donor site. |
| Databáze: | OpenAIRE |
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