Clinical application of full-face, whole, full-thickness skin grafting: a case report.

Abstract

A considerable portion of burn patients suffers severe full-face burns. Even after they were treated, some severe abnormalities still stay with them such as upper- and lower-eyelid ectropions, upper- and lower-lip ectropions, microstomia and extensive facial scar hyperplasia accompanied with pruritus. Patients suffer a great deal physically, emotionally and socially. Here we conclude our treatment experience of full-face burns with the full-face, whole, full-thickness skin grafting, which has not yet reported in the literature. We transplanted a whole, full-thickness skin graft to cover the wound in the primary operation and then remedied eyelid ectropions and microstomia in the operation that followed. The results of a 4-year-follow-up suggest that the patient has recovered part of facial expression and sensation without any geographic scars. Full-face, whole, full-thickness skin grafting appears to be an effective and relatively simple method for full-face burns that do not respond well to facial composite tissue allotransplantation (CTA).

• Authors: Jian-hui Zhao, Jian-sheng Diao, Wen-sen Xia, Yong Pan, Yan Han
• Journal: Journal of plastic, reconstructive & aesthetic surgery : JPRAS (J Plast Reconstr Aesthet Surg) Vol. 65 Issue 11 Pg. 1576-9 (Nov 2012) ISSN: 1878-0539 [Electronic] Netherlands
• PMID: 22613691 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Topics

• Adult
• Burns (surgery)
• Cicatrix (surgery)
• Facial Injuries (surgery)
• Female
• Humans
• Skin Transplantation (methods)
• Transplantation, Autologous