Meshed Reversed Dermal Graft in Patients with Surgical Defects of Sole and Scalp: Technique and Long-Term Results

Querings, Kerstin; Bachter, D.; Balda, Bernd‐Rüdiger

doi:10.1046/j.1524-4725.2002.01076.x

Cited by 7 publications

(5 citation statements)

References 13 publications

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“…In a study done by Crouh, the papillary dermis of the dermal graft was facing upwards in most cases [14]. Interestingly the studies of Querings & Fratila were different in the way of application of dermal graft as the application of dermal graft was in 'reversed' position in their studies and they needed to cover such dermal graft by another STSG 2 weeks later [15,16].…”

Section: Discussionmentioning

confidence: 99%

Comparative Study between Split Thickness Skin Graft and Split Thickness Dermal Graft in Coverage of Raw Areas

Emad

Abd-Elbaset

Hashem

et al. 2023

The Egyptian Journal of Plastic and Reconstructive Surgery

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Background: Loss of skin integrity is one of the most common problems in Plastic surgery. Split thickness skin graft is the gold standard in coverage of raw areas but it carries multiple complications like donor site morbidity. The dermal graft may add another autologous option for wound coverage with a concealed donor site scar. Aim:The aim of our study is to assess the safety, limitations, and complications of split thickness dermal graft in coverage of raw areas and to compare it to the standard Split thickness skin graft. Patients and Methods:The study was conducted on 38 patients with raw areas, who attended the outpatient clinics and

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Section: Discussionmentioning

confidence: 99%

Comparative Study between Split Thickness Skin Graft and Split Thickness Dermal Graft in Coverage of Raw Areas

Emad

Abd-Elbaset

Hashem

et al. 2023

The Egyptian Journal of Plastic and Reconstructive Surgery

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“…The previous experience of using a strict and isolated dermal component in the STSG technique was first introduced by Hynes already in 1954, as an alternative to the direct or tubed flap 21 . After this attempt, two publications described a modified technique by which the dermal graft was applied upside down at the recipient site 22,23 . The graft was thereafter left to vascularise and as it did not epithelialise at the surface, a second STSG was applied on top after 2 weeks.…”

Section: Discussionmentioning

confidence: 99%

“…It needs to be stressed that the STSG taken at the donor site at the time of the www.nature.com/scientificreports/ dermal graft was returned to its original position in our study. In the publication by Querings et al in 2002, it was emphasised that both the functional and cosmetic results at the recipient site were favourable 23 . Tanabe et al 7 used the dermal grafting technique to reconstruct palmar skin defects of the digits and hand using plantar dermal grafts.…”

Section: Discussionmentioning

confidence: 99%

A prospective dual-centre intra-individual controlled study for the treatment of burns comparing dermis graft with split-thickness skin auto-graft

Doğan

Elmasry

El‐Serafi

et al. 2022

Sci Rep

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To investigate if donor and recipient site morbidity (healing time and cosmesis) could be reduced by a novel, modified split-thickness skin grafting (STSG) technique using a dermal component in the STSG procedure (DG). The STSG technique has been used for 150 years in surgery with limited improvements. Its drawbacks are well known and relate to donor site morbidity and recipient site cosmetic shortcomings (especially mesh patterns, wound contracture, and scarring). The Dermal graft technique (DG) has emerged as an interesting alternative, which reduces donor site morbidity, increases graft yield, and has the potential to avoid the mesh procedure in the STSG procedure due to its elastic properties. A prospective, dual-centre, intra-individual controlled comparison study. Twenty-one patients received both an unmeshed dermis graft and a regular 1:1.5 meshed STSG. Aesthetic and scar assessments were done using The Patient and Observer Scar Assessment Scale (POSAS) and a Cutometer Dual MPA 580 on both donor and recipient sites. These were also examined histologically for remodelling and scar formation. Dermal graft donor sites and the STSG donor sites healed in 8 and 14 days, respectively (p < 0.005). Patient-reported POSAS showed better values for colour for all three measurements, i.e., 3, 6, and 12 months, and the observers rated both vascularity and pigmentation better on these occasions (p < 0.01). At the recipient site, (n = 21) the mesh patterns were avoided as the DG covered the donor site due to its elastic properties and rendered the meshing procedure unnecessary. Scar formation was seen at the dermal donor and recipient sites after 6 months as in the standard scar healing process. The dermis graft technique, besides potentially rendering a larger graft yield, reduced donor site morbidity, as it healed faster than the standard STSG. Due to its elastic properties, the DG procedure eliminated the meshing requirement (when compared to a 1:1.5 meshed STSG). This promising outcome presented for the DG technique needs to be further explored, especially regarding the elasticity of the dermal graft and its ability to reduce mesh patterns.Trial registration: ClinicalTrials.gov Identifier (NCT05189743) 12/01/2022.

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“…36 Indeed, meshed dermal graft is an appropriate technique for reconstruction of large defects of sole and scalp, and excellent long-term functional results were reported. 37 Moreover, dermis graft technique for wound coverage in patients was aesthetically and functionally superior to the regular skin graft technique in both the recipient and donor sites. 38–40 …”

Section: Dermal Graftmentioning

confidence: 99%

Epidermal Healing in Burns

Mcheik

Barrault²,

Levard

et al. 2014

Plastic and Reconstructive Surgery Global Open

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Background:Treatment of burned patients is a tricky clinical problem not only because of the extent of the physiologic abnormalities but also because of the limited area of normal skin available.Methods:Literature indexed in the National Center (PubMed) has been reviewed using combinations of key words (burns, children, skin graft, tissue engineering, and keratinocyte grafts). Articles investigating the association between burns and graft therapeutic modalities have been considered. Further literature has been obtained by analysis of references listed in reviewed articles.Results:Severe burns are conventionally treated with split-thickness skin autografts. However, there are usually not enough skin donor sites. For years, the question of how covering the wound surface became one of the major challenges in clinical research area and several procedures were proposed. The microskin graft is one of the oldest methods to cover extensive burns. This technique of skin expansion is efficient, but results remain inconsistent. An alternative is to graft cultured human epidermal keratinocytes. However, because of several complications and labor-intensive process of preparing grafts, the initial optimism for cultured epithelial autograft has gradually declined. In an effort to solve these drawbacks, isolated epithelial cells from selecting donor site were introduced in skin transplantation.Conclusions:Cell suspensions transplanted directly to the wound is an attractive process, removing the need for attachment to a membrane before transfer and avoiding one potential source of inefficiency. Choosing an optimal donor site containing cells with high proliferative capacity is essential for graft success in burns.

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Meshed Reversed Dermal Graft in Patients with Surgical Defects of Sole and Scalp: Technique and Long-Term Results

Abstract: The meshed reversed dermal graft is an appropriate technique for reconstruction of large defects of the sole or scalp because of its high survival rate and excellent long-term functional results.

Cited by 7 publications

References 13 publications

Comparative Study between Split Thickness Skin Graft and Split Thickness Dermal Graft in Coverage of Raw Areas

Comparative Study between Split Thickness Skin Graft and Split Thickness Dermal Graft in Coverage of Raw Areas

A prospective dual-centre intra-individual controlled study for the treatment of burns comparing dermis graft with split-thickness skin auto-graft

Epidermal Healing in Burns

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