A New Method for Skin Grafting a Burned Patient Who Has Epidermolysis Bullosa

Skivolocki, William P.; Bh, Harris; Et, Boles

doi:10.1097/00006534-197403000-00036

Cited by 7 publications

(1 citation statement)

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“…Prevention may be the best treatment; however, once severe deformity has devel oped, reconstructive surgical treatment is needed. Many operative approaches have been used to deal with the hand contracture of patients with RDEB (8)(9)(10)(12)(13)(14)(15). Anes thetic management is very important (16,17) because anesthetic and monitoring in struments may cause damage to skin and mucous membranes.…”

Section: Discussionmentioning

confidence: 99%

A Case of Dystrophic Epidermolysis Bullosa: Surgical Treatment for Hand Contracture Using Abdominal Skin Flap

Muramatsu

Hatoko

Shirai

et al. 1998

The Journal of Dermatology

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The patient was a 15-year-old male. Since birth, he has suffered from recurrent blistering, especially on the extremities. Histology and electron microscopic finding of the cutaneous lesions were compatible with those of dystrophic epidermolysis bullosa. Contracture and mobility limitation of the hands had gradually deteriorated. Prior to the admission to our clinic, both hands' contracture had been surgically treated 4 times in another hospital; however, after treatment with skin grafting, hand contracture recurred each time within one year. This time, surgical treatment was carried out for his left hand contracture using an abdominal skin flap under local anesthesia. In comparison with the free skin graft the abdominal skin flap improved hand contracture for a longer time. Abdominal skin flap is recommended as a method for the treatment of hand contracture of patients with dystrophic epidermolysis bullosa.

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