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KMID : 1037220130190030148
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Archives of Aesthetic Plastic Surgery
2013 Volume.19 No. 3 p.148 ~ p.153
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Aesthetic Improvement of Burn Scar by Tangential Excision and Thin Split Thickness Skin Graft
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Hwang So-Min
Kim Jang-Hyuk
Kim Hyung-Do
Jung Yong-Hui
Kim Hong-Il
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Abstract
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Background: Burn injuries of the extremity can result in cosmetically offensive appearance. Postburn scar can improve by the combination of tangential excision and thin split-thickness skin graft.
Methods: From January 2005 and December 2012, 17 patients (10 males and 7 females) with postburn scar of the extremity underwent the combined techniques. The median time from initial injury to surgery was 66.2 months (range: 11-288 months). In the operation, burn scar was excised until viable dermis could be observed using electrical dermatome, after which thin split thickness skin graft was performed.
Results: Tangential excision and thin split thickness skin graft gave excellent grafting results without the need of reoperation. Depigmentation in the majority of patients were recovered within a year by the operation of thin split thickness skin graft. Recovery of range of motion and cosmetic results were good in all patients.
Conclusions: Tangential excision and thin split thickness skin graft are a good way of the reconstruction of deformed and depigmented skin from burns on extremity.
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KEYWORD
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Postburn scar, Tangential excision, Thin skin graft
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