Augmented Skin Grafting: A New Rung in the Reconstructive Ladder

Autor: Kelly C Landeen, Scott J. Stephan, Raj D. Dedhia, Seth J. Davis, William Russell Ries, Karthik S. Shastri
Rok vydání: 2022
Předmět:
Zdroj: Facial Plastic Surgery & Aesthetic Medicine. 24:126-129
ISSN: 2689-3622
2689-3614
DOI: 10.1089/fpsam.2021.0112
Popis: Importance: A gap in the reconstructive ladder exists in which complex defects may benefit from skin grafting but are not amenable due to their anatomic limitations. Similarly, some patients are intolerant of more invasive techniques in cosmetically sensitive areas. In these scenarios, augmented skin grafts may represent a unique alternative to traditional reconstructive options. Observations: This report is a clinical overview of skin grafting in complex nasal defects. We describe three types of augmented skin grafts, with examples of each. These include preliminarily augmented grafts with a dermal biomatrix, simultaneous augmentation with a perichondrocutaneous pseudo-composite graft, and delayed augmentation with staged structural grafting. Conclusions and Relevance: Augmented skin grafts represent unique methods of reconstruction for complex wounds in cosmetically sensitive areas. We propose these techniques as an evolving unique rung in the reconstructive ladder.
Databáze: OpenAIRE