Full thickness skin grafts from the groin: donor site morbidity and graft survival rate from 50 cases.
10.5125/jkaoms.2013.39.1.21
- Author:
Somi KIM
1
;
Seung Won CHUNG
;
In Ho CHA
Author Information
1. Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea. cha8764@yuhs.ac
- Publication Type:Original Article
- Keywords:
Skin transplantation;
Groin;
Forearm;
Free tissue flaps;
Mouth mucosa
- MeSH:
Axis, Cervical Vertebra;
Cicatrix;
Elasticity;
Forearm;
Free Tissue Flaps;
Graft Survival;
Groin;
Humans;
Male;
Mouth Mucosa;
Pain, Postoperative;
Photography;
Retrospective Studies;
Skin;
Skin Transplantation;
Tissue Donors;
Transplants
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2013;39(1):21-26
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: Full thickness skin grafts (FTSG) offer several advantages; they are esthetically superb, have less postoperative shrinkage, and offer minimal postoperative pain and scar formation at the donor site. As a donor site of FTSG, the groin offers a relatively large area of skin with high elasticity. The aim of this study was to evaluate FTSG from the groin for reconstruction in oral and maxillofacial surgery. MATERIALS AND METHODS: In a retrospective study, 50 patients (27 males, 23 females) who received FTSG from the groin were evaluated for their operation records, clinical photography, and medical records. RESULTS: The width of skin from the groin was distributed from 2-8 cm (mean: 5.1 cm) at the donor site, while the long axis length was distributed from 3-13 cm (mean: 7.4 cm). A high number of patients, 47 patients (94%) out of 50, showed good healing at the donor site. Wound impairment was seen in 3 patients (6%), minor wound dehiscence in 2 patients, and severe wound dehiscence in 1 patient. In the recipient site, delayed healing was observed in 2 patients (4%). CONCLUSION: FTSG from the groin to repair soft tissue defects in reconstruction surgery is a good method due to the relatively big size of the graft, decreasing morbidity at the donor site, and higher graft survival rates.