Split-thickness skin graft donor site management. A randomized prospective trial comparing a hydrophilic polyurethane absorbent foam dressing with a petrolatum gauze dressing

Archives of Otolaryngology--head & Neck Surgery
R S WeberH Goepfert

Abstract

Traditionally, skin graft donor sites have been covered with fine-mesh gauze dressings, and a dry eschar has been allowed to form. Newer dressings that can provide a moist wound environment may facilitate reepithelialization. We compared a hydrophilic semipermeable absorbent polyurethane foam dressing that provides a moist wound environment with a petrolatum gauze dressing for donor sites. Prospective randomized trial; follow-up at 14 days. Department of head and neck surgery in a tertiary care center. Sixty-eight eligible patients received one of the two dressings. Harvested skin grafts were 0.375-mm (0.015-in) thick; donor site surface areas were recorded. At postoperative day 14, the dressings were removed, and wound epithelialization was scored: 1, none; 2, scattered or spotty; and 3, complete. Donor site and operative site pain intensities were assessed by a visual numeric scale: none (0) to the worst (100) experienced over the preceding 24-hour period. Pain scores were available for 58 patients. Dressings were compared based on these criteria: healing at 14 days, infection, and donor site and operative site pain. A healing score of 3 was seen in 37% (14/38) of patients with hydrophilic semipermeable absorbent polyurethane...Continue Reading

Citations

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