J Korean Soc Plast Reconstr Surg Search

CLOSE


Journal of the Korean Society of Plastic and Reconstructive Surgeons 2010;37(5):589-594.
Published online September 1, 2010.
Usefulness of Full-thickness Skin Graft from Anterolateral Chest wall in the Reconstruction of Facial Defects.
Won Jae Yoo, So Young Lim, Jai Kyong Pyon, Goo Hyun Mun, Sa Ik Bang, Kap Sung Oh
Samsung Medical Center, Department of Plastic Surgery, Sungkyunkwan University School of Medicine, Seoul, Korea. sy72.lim@samsung.com
Abstract
PURPOSE
Full thickness skin grafts are useful in the reconstruction of facial skin defects when primary closure is not feasible. Although the supraclavicular area has been considered as the choice of donor site for large facial skin defect, many patients are reluctant to get a neck scar and some patients do not have enough skin to cover the defect owing to the same insult occurred to the neck such as burn accident. We present several cases of reconstruction of facial skin defects by freehand full-thickness skin graft from anterolateral chest wall resulting aesthetically acceptable outcome with lesser donor site morbidity. METHODS: Retrospective review was performed from March, 2007 to September, 2009. 15 patients were treated by this method. Mean age was 31.5 years. The ethiology was congenital melanocytic nevus in 7 cases, capillary malformation in 5 cases and burn scar contracture in 3 cases. Mean area of lesion was measured to 67.3 cm2 preoperatively. The lesion was removed beneath the subcutaneous fatty tissue layer. The graft was not trimmed to be thin except defatting procedure. For the larger size of defect, two pieces of grafts were harvested from both anterolateral chest wall in separation and combined by suture.
RESULTS
The mean follow up period was 9.7 months. All the grafts survived without any problem except small necrotic areas in 4 cases, which healed spontaneously under conventional dressings in 6 weeks postoperatively. Color match was relatively excellent. There were 2 cases of hyperpigmentation immediately, but all of them disappeared in a few months.
CONCLUSION
In cases of large facial skin defects, the anterolateral chest wall may be a good alternative choice of full-thickness skin graft.
Keywords: Full thickness skin graft; Skin graft; Donor; Chest wall; Facial defects
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 159 View
  • 0 Download

Usefulness of Gracilis Flap for Perineal Area Reconstruction.2010 September;37(5)

Distally Based Anterolateral thigh Pedicled Flap in the Reconstruction of Defect Around Knee.2010 November;37(6)

Clinical Usefulness of Titanium Mesh in Reconstruction of the Craniofacial Bone Defects.2006 November;33(6)

Management of Hair Line Using Skin Graft after Tissue Expansion for the Auricular Reconstruction of Microtia.2000 May;27(3)

3 Dimensional Folding of Composite Ear Graft for Reconstruction of Nasal Tip Defect.2000 November;27(6)



ABOUT
ARTICLE & SPECIALITY
Article category

Browse all articles >

Speciality

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-2003, Lotte Castle President, 109, Mapodaero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-3472-8252    Fax: +82-2-3472-4254    E-mail: apsedit@gmail.com                

Copyright © 2019 by Korean Society of Plastic and Reconstructive Surgeons. All rights reserved.

Developed in M2community

Close layer
prev next