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DOI: 10.1055/s-0043-1774671
Preparation of Recipient Areas When Skin Grafting for Camouflage of Static Localised Vitiligo
Autoren
Summary
A prospective randomized study was undertaken in 50 patients with static localised vitiligo to determine the optimum thickness of the excision of patches of vitiligo prior to grafting with normally pigmented very thin split-thickness skin grafts.
Recipient areas (diseased skin) were prepared in 1 of 5 different ways (n = 10 per group): Group 1, dermabrasion of epidermis alone; Group 2, shaving of thin partial-thickness skin; Group 3, shaving of medium partial-thickness skin; Group 4, excision of full-thickness skin alone and Group 5, excision of full-thickness skin with subcutaneous fat.
After a minimum follow up of 6 months, results showed that in Groups 1 and 2, the skin grafts desquamated by the re-growth of epidermis from the recipient bed. In the Group 3, grafts were unsightly because of retention cysts and a prominent edge. In Group 5, grafts became hyper-pigmented and the grafted area was scalloped. Optimum results were obtained in Group 4 with best aesthetic appearance. Vitiligo patches are best treated by excision of full-thickness skin when resurfacing with normally pigmented thin split-thickness skin grafts.
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Artikel online veröffentlicht:
28. August 2023
© 2023. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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