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Facial Plastic Surgery : FPS Feb 2017Skin grafts offer a dynamic repair option for nasal defects of appropriate size, depth, and location. Granulation and grafting can successfully be used as stand-alone... (Review)
Review
Skin grafts offer a dynamic repair option for nasal defects of appropriate size, depth, and location. Granulation and grafting can successfully be used as stand-alone reconstructive options or in conjunction with flap repair. This article reviews suitable indications for graft and granulation use in nasal repair to achieve optimum functional and esthetic outcomes.
Topics: Granulation Tissue; Humans; Nose Deformities, Acquired; Rhinoplasty; Skin Transplantation; Surgical Flaps; Wound Closure Techniques; Wound Healing
PubMed: 28226367
DOI: 10.1055/s-0036-1597948 -
Journal of Burn Care & Research :... Sep 2022Burns are common injuries associated with high disability and mortality. In recent years, Meek micrografting technique has been gradually applied for the wound treatment...
Burns are common injuries associated with high disability and mortality. In recent years, Meek micrografting technique has been gradually applied for the wound treatment of severe burns. However, the efficacy of two-stage Meek micrografting in patients with severe burns keeps unclear. The data of eligible patients with severe burns who were admitted to Southwest Hospital of the Third Military Medical University from January 2013 to December 2019 were retrospectively analyzed. The patients were divided into two groups according to the Meek micrografting method: one-stage skin grafting (group A) and two-stage skin grafting (group B). The baseline data, survival rate of skin graft, length of hospital stay, treatment costs, laboratory data, and cumulative survival were statistically analyzed. One hundred and twenty-seven patients (91 in group A and 36 in group B) were included in the study. There was no significant difference in the baseline data, the length of hospital stay, and treatment costs between the two groups. The survival rate of skin graft was higher in group B. Total protein and albumin level, platelet count in group B were superior to those in group A, while there was no difference in other laboratory data (prealbumin, serum creatinine, urea nitrogen, cystatin C, blood cultures, wound exudate cultures), and cumulative survival between the two groups. Our results demonstrated that staged Meek micrografting could improve the survival rate of skin graft, by reducing the risks of hypoproteinemia, hypoalbuminemia, and low platelet counts after adequate resuscitation.
Topics: Burns; Humans; Length of Stay; Retrospective Studies; Skin; Skin Transplantation
PubMed: 34902020
DOI: 10.1093/jbcr/irab241 -
Indian Journal of Dermatology,... 2015
Review
Topics: Dermatology; Humans; Skin Diseases; Skin Transplantation; Skin, Artificial
PubMed: 25751337
DOI: 10.4103/0378-6323.152288 -
JAMA Facial Plastic Surgery 2015
Topics: Asian People; Cartilage; Cosmetic Techniques; Humans; Nasal Cartilages; Rhinoplasty; Skin Transplantation
PubMed: 25974218
DOI: 10.1001/jamafacial.2015.0316 -
The Journal of Craniofacial Surgery Oct 2016The aim of this paper was to review the origins and history of deltopectoral flaps and the pectoralis major myocutaneous flap.The first published paper on the... (Review)
Review
The aim of this paper was to review the origins and history of deltopectoral flaps and the pectoralis major myocutaneous flap.The first published paper on the deltopectoral flap was written by Aymard in 1917. He described raising a medially based fasciocutaneous flap from the shoulder skin, which was then tubed and used for staged nasal reconstruction. Conley introduced the laterally based deltopectoral flap, which was supplied by the lateral thoracic and thoracocranial branches. Bakamjian used a medially based deltopectoral flap for pharyngoesophageal reconstruction; this was an axial flap based medially on the intercostal perforating vessels of the internal mammary artery. Krizek reviewed the literature and stated that Aymard flap was the keystone to the conception and execution of Bakamjian flap. Hueston was the first to combine a skin flap and pectoralis major muscle for repair of the large defects of the chest wall. The pectoralis major myocutaneous flaps described by Ariyan and Baek are a hybrid of Conley's laterally based deltopectoral flap and Hueston's inclusion of the pectoralis major muscle in the skin flap.When the authors develop what appears to be a new surgical technique, the authors are prone to be excited. However, at such a moment the authors must perform a literature review. In most patients, the authors will realize that the previous authors have already developed a given concept. The authors must not commit plagiarism due to their ignorance or laziness in conducting a literature review.
Topics: Female; Humans; Male; Myocutaneous Flap; Pectoralis Muscles; Rhinoplasty; Skin Transplantation
PubMed: 27763977
DOI: 10.1097/SCS.0000000000003057 -
Journal of Cosmetic Dermatology Jul 2022The ear is one of the face areas most affected by skin cancers, and the surgical reconstruction is often challenging because of tumor- and patient-related factors....
BACKGROUND
The ear is one of the face areas most affected by skin cancers, and the surgical reconstruction is often challenging because of tumor- and patient-related factors. Reconstructive options are essentially skin flaps and grafts or their combinations. The use of preauricular translocation (PAT) flap for auricular reconstructions is constantly increasing.
AIM AND METHODS
This retrospective study reports the comparison between the PAT flap and the full-thickness skin grafts (FTSGs) for surgical auricular defect reconstruction in elderly population (≥65 years) that typically shows poor compliance in the postoperative wound care management.
RESULTS
A total of 52 FTSGs (Group A) and 39 PAT (Group B) were performed between April 2007 and July 2020. The aim was to investigate, compare, and define advantages and disadvantages of both techniques. Visual Analogue Scale (VAS) was used to evaluate the overall patients' satisfaction. The mean surgical and healing times were longer in Group A (p < 0.05). No complications occurred in the PAT group, and all the flaps survived. In the FTSG group, the overall complication rate was 17.3% (four partial and three total graft failure, and two graft infections). T test was used to compare the VAS scores: Patients with PAT flap were more satisfied than those with FTSG (p < 0.05).
CONCLUSIONS
Preauricular translocation flap is a reproducible, safe, and quick option for auricular defects reconstruction in the ≥65 years population, associated with an easier patient management, high patient satisfaction, and excellent aesthetic result.
Topics: Aged; Ear Neoplasms; Humans; Plastic Surgery Procedures; Retrospective Studies; Skin Neoplasms; Skin Transplantation; Surgical Flaps; Treatment Outcome
PubMed: 34648688
DOI: 10.1111/jocd.14519 -
Dermatologic Surgery : Official... Dec 2019
Topics: Humans; Skin; Skin Transplantation; Surgical Tape; Transplant Donor Site
PubMed: 31765339
DOI: 10.1097/DSS.0000000000001788 -
The Journal of Hand Surgery Feb 2023To introduce toe-to-hand transplantation performed with the assistance of both bone and soft tissue modeling using 3-dimensional printing technology.
PURPOSE
To introduce toe-to-hand transplantation performed with the assistance of both bone and soft tissue modeling using 3-dimensional printing technology.
METHODS
From May 2015 to October 2018, 31 patients (group A, 24 thumbs and 7 fingers) were included. Computed tomography scans were acquired using a spiral computed tomography scanner, and the data were processed with software. Bone, skin, and nail models were created for tailoring the flap taken from the great toe. The impact of foot pathology in terms of pain, disability, and activity restriction was assessed using the Foot Function Index. For comparison, we included 35 patients (group B) who underwent toe-to-hand transplantation without the assistance of 3-dimensional computer-aided modeling.
RESULTS
The mean duration of follow-up of groups A and B was 26 months (range, 24-31 months) and 27 months (range, 24-33 months), respectively. The mean Foot Function Index of groups A and B was 5 (range: 0-15) and 17 (range, 0-39), respectively.
CONCLUSIONS
Three-dimensional computer-aided modeling and printing provide geometric accuracy in toe-to-hand transplantation. It also may reduce the donor foot morbidity by accurate flap designing and harvesting.
TYPE OF STUDY/LEVEL OF EVIDENCE
Therapeutic IV.
Topics: Humans; Toes; Hand Transplantation; Finger Injuries; Amputation, Traumatic; Skin Transplantation; Computer-Aided Design; Printing, Three-Dimensional
PubMed: 35012797
DOI: 10.1016/j.jhsa.2021.09.034 -
Burns : Journal of the International... Dec 2016Negative pressure has been employed in various aspects of burn care and the aim of this study was to evaluate the evidence for each of those uses. (Review)
Review
OBJECTIVE
Negative pressure has been employed in various aspects of burn care and the aim of this study was to evaluate the evidence for each of those uses.
METHODS
The PubMed and Cochrane CENTRAL databases were queried for articles in the following areas: negative pressure as a dressing for acute burns, intermediate treatment prior to skin grafting, bolster for skin autografts, dressing for integration of dermal substitutes, dressing for skin graft donor sites, and integrated dressing in large burns.
RESULTS
Fifteen studies met our inclusion criteria. One study showed negative pressure wound therapy improved perfusion in acute partial-thickness burns, 8 out of 9 studies showed benefits when used as a skin graft bolster dressing, 1 out of 2 studies showed improved rate of revascularization when used over dermal substitutes, and 1 study showed increased rate of re-epithelialization when used over skin graft donor sites.
CONCLUSIONS
Negative pressure can improve autograft take when used as a bolster dressing. There is limited data to suggest that it may also improve the rate of revascularization of dermal substitutes and promote re-epithelialization of skin graft donor sites. Other uses suggested by studies that did not meet our inclusion criteria include improving vascularity in acute partial-thickness burns and as an integrated dressing for the management of large burns. Further studies are warranted for most clinical applications to establish negative pressure as an effective adjunct in burn wound care.
Topics: Burns; Humans; Negative-Pressure Wound Therapy; Re-Epithelialization; Skin Transplantation; Skin, Artificial; Transplant Donor Site; Transplantation, Autologous; Wound Healing
PubMed: 27378361
DOI: 10.1016/j.burns.2016.06.011 -
Cell and Tissue Banking Dec 2016The use of skin allografts to temporarily replace lost or damaged skin is practiced worldwide. Naturally occurring contamination can be present on skin or can be... (Review)
Review
The use of skin allografts to temporarily replace lost or damaged skin is practiced worldwide. Naturally occurring contamination can be present on skin or can be introduced at recovery or during processing. This contamination can pose a threat to allograft recipients. Bacterial culture and disinfection of allografts are mandated, but the specific practices and methodologies are not dictated by standards. A systematic review of literature from three databases found 12 research articles that evaluated bioburden reduction processes of skin grafts. The use of broad spectrum antibiotics and antifungal agents was the most frequently identified disinfection method reported demonstrating reductions in contamination rates. It was determined that the greatest reduction in the skin allograft contamination rates utilized 0.1 % peracetic acid or 25 kGy of gamma irradiation at lower temperatures.
Topics: Allografts; Cell Culture Techniques; Disinfection; Humans; Skin; Skin Transplantation; Sterilization; Tissue Banks; Transplantation, Homologous
PubMed: 27522193
DOI: 10.1007/s10561-016-9569-2