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KMID : 0358819890160010163
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1989 Volume.16 No. 1 p.163 ~ p.171
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FULL THICKNESS SKIN GRAFT USING PREPUCLAL SKIN
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Cho Dae-Whan
Kim Woo-Seob
Yoon Byung-Ihl
Rhee Ki-Rung
Kim Seung-Hong
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Abstract
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Although recent advance in plastic surgery such as microsurgery, myocutaneous free flap, tissue expander, even pharmacologic control of graft rejection has been achieved, it is projected that skin grafting will stand as this century’s most important reconstructive surgical innovation.
Full thichkness skin graft was superior to split thickness skin graft in many aspects. But an available amount of full thickness skin was limited.
The prepucial skin in circumcision was usually discarded. We tried to use the prepucial skin in skin defect for the prupose of diminishing donor site scar.
In this clinical experience, we conclude that the prepucial skin could be used as good donor source for coverage of skin defect especially joint region with minimal scar contracture for it’s good elasticity, in spite of color disharmony.
The advantages of prepucial skin graft are;
1. no donor site scar
2. good elasticity
3. relatively large amount of available skin (81.2㎠)
4. spontaneous circumcision
The disadvantages of prepucial skin graft are;
1. color disharmony
2. limited availability
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KEYWORD
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