Usefulness of Full-thickness Skin Graft from Anterolateral Chest wall in the Reconstruction of Facial Defects

유원재; 임소영; 변재경; 문구현; 방사익; 오갑성

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자료유형: 학술저널

저자정보: 유원재 (성균관대학교 의과대학 삼성서울병원 성형외과학교실) 임소영 (성균관대학교 의과대학 삼성서울병원 성형외과학교실) 변재경 (성균관대학교 의과대학 삼성서울병원 성형외과학교실) 문구현 (성균관대학교 의과대학 삼성서울병원 성형외과학교실) 방사익 (성균관대학교 의과대학 삼성서울병원 성형외과학교실) 오갑성 (성균관대학교 의과대학 삼성서울병원 성형외과학교실)

저널정보: 대한성형외과학회 대한성형외과학회지 대한성형외과학회지 제37권 제5호

발행연도: 2010.1

수록면: 589 - 594 (6page)

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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.

#Full thickness skin graft #Skin graft #Donor #Chest wall #Facial defects

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유원재

소속기관 성균관대학교 의과대학 삼성서울병원 성형외과학교실

주요연구분야 의약학 > 임상의학 > 성형외과학

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Lim, So-Young

소속기관 Department of Plastic Surgery, Samsung Medical Centre, Sungkyunkwan University School of Medicine