Document Detail


Use of split thickness plantar skin grafts in the treatment of hyperpigmented skin-grafted fingers and palms in previously burned patients.
MedLine Citation:
PMID:  21316154     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Palmar and finger burns are often seen in children, and are usually as a result of contact burns. Some patients with deep hand burns are treated with full-thickness or split-thickness skin grafts. Skin graft is commonly used for hand reconstruction. However, the grafted skin would be more pigmented than the adjacent skin and different from skin texture. 19 patients who showed hyperpigmentation after skin graft of finger and palm were treated. They all were injured by hand burns. We performed mechanical dermabrasion of the hyperpigmentation scar and application of a split thickness skin harvested from medial aspect of plantar of foot. Patients were asked about their level of satisfaction with the procedure and scar appearance was assessed using a five-point Likert scale. Also scar appearances were assessed using a Vancouver Scar Scale (VSS). The grafts were completely taken in all 19 patients. The color of the graft became similar to adjacent tissue. 15 patients were very satisfied, and four patients were relatively satisfied. The average score of the patients postoperative appearance improvement was 4.5 (improved to significantly improved postoperative appearance). Average VSS score was improved from 9.53 to 2.53. There was no hypertrophic scar on plantar donor site. The technique of the split-thickness plantar skin graft after mechanical dermabrasion is simple and provided good results in both color and texture for the patients who showed hyperpigmentation after grafting.
Authors:
Suk-Ho Moon; So-Young Lee; Sung-No Jung; Sang-Wha Kim; Bommie F Seo; Ho Kwon; Won-Il Sohn
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Publication Detail:
Type:  Journal Article     Date:  2011-02-11
Journal Detail:
Title:  Burns : journal of the International Society for Burn Injuries     Volume:  37     ISSN:  1879-1409     ISO Abbreviation:  Burns     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-04-22     Completed Date:  2011-07-22     Revised Date:  2014-01-15    
Medline Journal Info:
Nlm Unique ID:  8913178     Medline TA:  Burns     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  714-20     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Ltd and ISBI. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Burns / complications*
Child
Cicatrix / surgery
Female
Finger Injuries / pathology,  surgery*
Hand Injuries / pathology,  surgery*
Humans
Hyperpigmentation / surgery*
Male
Patient Satisfaction
Skin / pathology
Skin Transplantation / methods*
Surgical Flaps
Young Adult
Comments/Corrections
Comment In:
Burns. 2013 Dec;39(8):1650-1   [PMID:  24099790 ]
Burns. 2013 Dec;39(8):1651   [PMID:  24129158 ]

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