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An Additional Option for Split-Thickness Skin Graft Donors The Previous Free Flap Sites

Title
An Additional Option for Split-Thickness Skin Graft Donors The Previous Free Flap Sites
Author
김정태
Keywords
skin grafting; free flaps; donor site; reconstruction
Issue Date
2015-12
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Citation
ANNALS OF PLASTIC SURGERY, v. 75, NO 6, Page. 634-636
Abstract
Free flap reconstruction is the best choice for soft-tissue defect. However, there are often accompanying problems such as partial flap loss, donor-site skin problems, and loss of previous skin grafts surrounding the flap site. This is especially true when dealing with multiple trauma, complex defects, and large skin flaps. Because of the simplicity of the procedure involved, split-thickness skin grafts are usually used for reconstructing skin and soft-tissue defects. These are also a good choice when there is a need for further procedures because of defects from several potential causes. Pain and the loss of healthy donor tissue are major concerns in such operations. Hence, we thought that the previous skin flap area might be a good alternative area for split-thickness skin grafts accompanying procedures subsequent to free flap reconstruction. Because this donor area is no longer sensitive, local anesthesia can be used during harvesting, and there is no loss of healthy donor tissue. Therefore, this procedure is an economical means of obtaining tissue for soft-tissue reconstruction. We describe 9 examples of flap reconstruction done in this way and suggest that this is a useful option for donor site.
URI
http://pt.wkhealth.com/pt/re/lwwgateway/landingpage.htm;jsessionid=ZpZpyDQN2Jhk3D9fJcb1kTMlhxglhz59Q4HFR9JCRy1ZDkBzsJYS!2045564855!181195628!8091!-1?sid=WKPTLP:landingpage&an=00000637-201512000-00014http://hdl.handle.net/20.500.11754/30196
ISSN
0148-7043; 1536-3708
DOI
10.1097/SAP.0000000000000143
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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