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KMID : 1190620050020010034
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Journal of the Korean Wound Care Society
2005 Volume.2 No. 1 p.34 ~ p.40
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Deepithelialized Split Thickness Skin Graft
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Kim Jeong-Bae
Han Seung-Kyu
Kim Woo-Kyung
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Abstract
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The two major concerns in skin grafting are poor color match in the recipient site and the donor site morbidity. A deepithelialized split thickness skin graft was used to minimize these problems. The important aspects of this method involve immediate return of epidermis to the donor site and restoration of the recipient site’s epidermis by inducing epithelialization from adjacent skin. From April of 2001 to March of 2004, new skin garft and conventional skin graft (STSG) were performed in 53 and 33 patients, respectively. The healing time, the scar condition, and the patients’ satisfaction were compared. Regarding the recipient sites, the wounds of the new skin graft (n=53) and conventional STSG (n=33) had reepithelialized after 15.5?1.9 and 11.8?1.6 days, respectively. Scarring were less severe on the new skin graft in terms of pigmentation, height, and vascularity (p＜0.05). No significant difference in pliability was detected. The patients’ satisfaction with the new skin graft was also better. Concerning the donor sites, the wounds healed within 7.5?0.8 and 12.8?1.1 days, respectively. In terms of scar quality and patients’ satisfaction, the new skin graft (n=26) showed better result. The new skin graft is superior both aesthetically and functionally to conventional STSG in both the recipient and donor sites. (J Korean Wound Care Soc 2006;2:34-40)
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KEYWORD
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Deepithelialization, Split thickness skin graft
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