J Korean Burn Soc.  2015 Dec;18(2):88-92. 10.0000/jkbs.2015.18.2.88.

Coverage of Skin Defect in Deep Second Degree Burn by Using Skin Graft After Advancement Flap

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, KEPCO Medical Center, Seoul, Korea. zzcrunch@naver.com

Abstract

PURPOSE
Skin graft is useful treatment in burn wound. The major disadvantage of traditional skin graft is related to recipient site scarring and donor site morbidity. Then we present our successful experience of using skin graft after advancement flap.
METHODS
The study is based on 22 patients who has deep 2nd burn wound with eschar and 3rd degree burn wound. We performed split-thickness skin graft in 17 patients, and fullthickness skin graft in 5 patients. After undermining of wound margin about 1.3 cm~4 cm, we performed suture of wound marginal skin and subcutaneous tissue with absorbable suture materials. Then we harvested skin according to reduced wound size, and we applied donor skin in recipient area.
RESULTS
The skin graft area of the 17 patients who had split skin-thickness graft showed a decline of 25% compared with that of the initial burn wound. 5 patents who had full-thickness skin graft also showed a decrease of 10% in the skin graft area compared with that of the initial burn wound. All Grafts were well taken in 22 patients without skin loss. By observing the progress 12 to 15 months after the operation, minor hypertrophic scar on the boundary of grafted skin area was observed in the 2 patents and hypertrophic scar or contracture was not seen in all 22 patients.
CONCLUSION
Skin graft after advancement flap can be used as a treatment in deep 2nd degree and 3rd degree burn wound. Compared with traditional skin graft, the result seems to be good cosmetically and functionally.

Keyword

Burn; Flap; Skin graft

MeSH Terms

Burns*
Cicatrix
Cicatrix, Hypertrophic
Contracture
Humans
Skin*
Subcutaneous Tissue
Sutures
Tissue Donors
Transplants*
Wounds and Injuries
Full Text Links
  • JKBS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error