Scalp as split thickness skin graft donor site for congenital atresia repair

Abstract

Objective: Describe the use of the scalp as a donor site for split thickness skin grafts in otologic surgery. Materials and Methods: Review of the literature with detailed description of surgical technique and authors' experience.Results: One hundred and forty-four scalp split thickness skin grafts were obtained between 2007 and 2011. No significant complications were observed with optimal cosmetic results.Conclusions: The scalp is a viable option as a split thickness skin graft donor site for otologic and other head and neck surgery. Advantages include improved cosmetic results at the donor site, quick healing with low complication rates, and easy accessibility in the operative field.

Split‐thickness skin grafting for reconstruction of auricular skin defects: a statistical analysis

“…Only one patient preferred the leg as donor site in order to be able to better conceal the secondary scar. Used once in our patient group, the scalp has also been reported to be a suitable donor site for skin grafting . Faced with this option, elderly patients in particular did not want to have their scalp shaved.…”

A systematic review of the scalp donor site for split-thickness skin grafting

“…Many articles reported that patients' heads were shaved using a razor. It is difficult to remove the hair shaft from grafts; thus, the hair shaft was trimmed to a length of 1-2 mm to allow easier subsequent hair removal [20,21].…”

“…The tumescent solution in four articles was mixed with anesthetic agents, such Mean (range) or mean ± SD (range); b) Refers to early systemic complications. as 0.5% lignocaine [5], 0.25%-0.5% prilocaine [17], 1% prilocaine [25], and 0.06% bupivacaine [20]. Additionally, in 16 articles, the solutions were mixed with adrenaline [7] at ratios of 1:10,000 [25], 1:100,000 [12,16], 1:200,000 [5,17], 1:250,000 [22], 1:300,000 [14], 1:500,000 [18,22,26], 1:600,000 [21], 1:800,000 [4,20] 1:1,000,000 [15,19] and 1:2,000,000 [11,21].…”

“…There was only a single harvest or crop in 12 articles [5,9,13,16,17,[19][20][21][23][24][25]28], and single or multiple harvests in 15 articles. Two articles [19,28] reported simultaneously harvesting the scalp skin and a dermal split-thickness graft.…”

Spalthauttransplantation zur Defektdeckung am Ohr: eine statistische Analyse

“…Lediglich ein Patient bevorzugte den Oberschenkel als Spenderregion, um die zweite Narbe besser verstecken zu können. Auch die Kopfhaut wurde als gute Spenderregion für Hauttransplantate beschrieben . Wir nutzten diese Region einmal.…”