Erbium:YAG laser-assisted preparation of a combined dermal/full thickness sandwich skin graft

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]
Falk G BecharaKlaus Hoffmann

Abstract

Skin grafting is a common procedure to close defects after tumor resection. However, delicate areas such as the heel or the sole of the foot can be closed with a specially designed graft as described in this article. To describe a surgical technique by means of erbium:YAG laser-assisted preparation of a combined dermal/full-thickness sandwich skin graft that facilitates the closure of defects, especially at mechanically stressed anatomic sites. Tumor defects on the sole of the foot of 28 patients were closed with a new dermal/full-thickness sandwich skin graft. To obtain this special graft, half of a full-thickness skin graft twice the size of the wound defect was deepithelialized with an erbium:YAG laser. After complete defatting of the transplant, the deepithelialized part was folded beneath the full-thickness part (upside down) resulting in a sandwich graft, enabling contact of the papillary dermis with the wound surface. Graft results were graded as excellent when more than 75%, good if 50-75%, fair if 25-50%, and poor if less than 25% of the transplant healed. Results were graded as excellent in 32%, good in 54%, fair in 11%, and poor in 3% of the patients. Total graft loss was experienced in 1 of 28 patients. Complication...Continue Reading

References

Apr 1, 1997·Facial Plastic Surgery : FPS·A A Fratila, R Bertlich
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Sep 25, 2002·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·June K Robinson, Gina Dillig
Jul 1, 1960·Plastic and Reconstructive Surgery and the Transplantation Bulletin·N THOMPSON
Jan 25, 2005·The British Journal of Ophthalmology·I LeibovitchD Selva

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Sep 1, 2006·Photomedicine and Laser Surgery

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