The beveled edge technique for harvesting of full-thickness skin grafts

被引:6
|
作者
Shook, BA
Peterson, J
Wells, MJ
Butler, DF
机构
[1] Laser & Dermatol Surg Ctr Inc, St Louis, MO 63017 USA
[2] Texas Tech Univ, Hlth Sci Ctr, Dept Internal Med, Lubbock, TX 79409 USA
[3] Texas Tech Univ, Hlth Sci Ctr, Dept Dermatol, Lubbock, TX 79409 USA
[4] Scott & White Mem Hosp & Clin, Div Dermatol, Dept Internal Med, Temple, TX USA
[5] Texas A&M Univ, Hlth Sci Ctr, Temple, TX USA
关键词
D O I
10.1097/00042728-200509000-00008
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
BACKGROUND. Mohs surgery often uses the creation of a "beveled edge" of 45 degrees during the staged excision of skin cancers. Reconstruction of these defects frequently requires the use of full-thickness skin grafts. Because most wounds are best repaired with 90-degree edges, the beveled incision technique often used in Mohs micrographic surgery creates a wound that may need to be modified prior to reconstruction. OBJECTIVE. We present a method of harvesting the graft with a similar 45-degree angle beveled incision. METHODS. After marking, preparing, locally anesthetizing, and draping the donor site, the graft is harvested using a 45-degree angled incision. Any remaining fat is trimmed away from the base of the graft. The graft is then placed directly on the surgical defect without any "freshening" of the wound edges and is sutured into place. RESULTS. The graft takes well on the surgically created defect, leaving a cosmetically acceptable result. CONCLUSION. We have found that harvesting the graft with a beveled incision of 45 degrees, similar to taking Mohs stages, hastens the repair process. This obviates the need to remove normal tissue to create a 90-degree angle and allows for better approximation of the dermal surface area of the graft to the base of the defect.
引用
收藏
页码:1128 / 1130
页数:3
相关论文
共 50 条
  • [41] The transparent template for sizing and harvesting full-thickness skin graft
    Reisler, Tom
    Ahmed, Jamil S.
    EUROPEAN JOURNAL OF PLASTIC SURGERY, 2009, 32 (01) : 55 - 56
  • [42] Skin-Fat Composite Grafts on Full-Thickness Facial Skin Defects
    Kwon, Seung Gee
    Lee, Dong Won
    Rah, Dong Kyun
    Lee, Won Jai
    ANNALS OF PLASTIC SURGERY, 2013, 71 (02) : 176 - 180
  • [43] The divided full-thickness skin graft: A harvesting technique to optimize donor area normal skin sacrifice and closure
    Seretis, Konstantinos
    Telli, Christina
    Bassukas, Ioannis D.
    JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2024, 91 (03) : e47 - e48
  • [44] Palmar Crease Release and Secondary Full-Thickness Skin Grafts for Contractures in Primary Full-Thickness Skin Grafts During Growth Spurts in Pediatric Palmar Hand Burns
    Oh, Suk-Joon
    Kim, Seon Gyu
    Cho, Jin Kyung
    Sung, Chang Min
    JOURNAL OF BURN CARE & RESEARCH, 2014, 35 (05): : E312 - E316
  • [45] Quilting of full thickness skin grafts: an alternative technique
    Nassab, Reza S.
    Sinha, Manish
    Rayatt, Sukh
    Vijh, Vikram
    JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2006, 59 (11): : 1256 - 1256
  • [46] OXYGEN CONDUCTANCE OF TEMPORARY FULL-THICKNESS AND SPLIT-SKIN GRAFTS
    BAUMER, F
    HENRICH, HA
    SCHOPFEL, S
    UNFALLCHIRURG, 1989, 92 (04): : 206 - 208
  • [47] NASAL CARTILAGE FENESTRATION IN THE APPLICATION OF FULL-THICKNESS SKIN-GRAFTS
    ADNOT, J
    HOFFMAN, BE
    JOURNAL OF DERMATOLOGIC SURGERY AND ONCOLOGY, 1989, 15 (11): : 1231 - 1234
  • [48] Evaluation of Extracellular Matrix Remodeling in Full-thickness Skin Grafts in Mice
    Tjust, Anton Erik
    Hellman, Urban
    Giannopoulos, Antonios
    Winsnes, Annika
    Strigard, Karin
    Gunnarsson, Ulf
    JOURNAL OF HISTOCHEMISTRY & CYTOCHEMISTRY, 2024, 72 (02) : 79 - 94
  • [49] SURGICAL PEARL - HYDROCOLLOID DRESSINGS FOR FULL-THICKNESS SKIN-GRAFTS
    GRABSKI, WJ
    GIANDONI, MB
    ANDERSON, LL
    JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1995, 32 (02) : 273 - 274
  • [50] Saline irrigation to facilitate unfolding of selected full-thickness skin grafts
    Chen, Teris Minsue
    Wanitphakdeedecha, Rungsima
    Nguyen, Tri H.
    Parks, Donald H.
    INTERNATIONAL JOURNAL OF DERMATOLOGY, 2008, 47 (08) : 869 - 870