Retroauricular full-thickness skin grafts in syndactyly repair: outcome and comparison with inguinal full-thickness skin grafts: retrospective (cross-sectional) study

Abstract

Due to the excellent pigmentation match and the inconspicuousness of the donor site, this study recommends the use of retroauricular full-thickness skin grafts for syndactyly repair.

Skin grafting after paediatric palmar burns: an analysis of 82 patients

“…However, full-thickness skin grafts often show a poor colour match, can bear hair and provide a relatively thin stratum corneum since they are not taken from donor sites bearing glabrous skin (Chandrasegaram and Harvey, 2009). In paediatric hand surgery, full-thickness skin grafts from the retroauricular region (Sulser et al., 2016) or the cubital fossa (Benatar, 2004) have been suggested to avoid poor colour match from the inguinal region and to avoid conspicuous scars. In our opinion, the preferred donor site for full thickness skin grafts should be the lower abdomen (Figure 2(c)).…”

A cross-sectional study of long-term satisfaction after surgery for congenital syndactyly: does skin grafting influence satisfaction?

“…Although various scar scales are available, only a few studies of syndactyly have made use of them (Lumenta et al., 2010; Sulser et al., 2016; Widerberg et al., 2016). We selected the POSAS to assess scar quality because it is a comprehensible scale that has previously been used in a study of patients with syndactyly (Sulser et al., 2016). Also, in a systematic review by Tyack et al.…”

“…Many researchers have only reported ‘acceptable’ (Ekerot, 1999) scar quality and ‘good cosmesis’ (De Smet et al., 1998), which are difficult to interpret and compare (Sullivan and Adkinson, 2017). Although various scar scales are available, only a few studies of syndactyly have made use of them (Lumenta et al., 2010; Sulser et al., 2016; Widerberg et al., 2016). We selected the POSAS to assess scar quality because it is a comprehensible scale that has previously been used in a study of patients with syndactyly (Sulser et al., 2016).…”

Treatment of congenital syndactyly

“…Full-thickness grafts are traditionally used, which may be harvested from numerous donor sites; these include the inguinal crease, the elbow and wrist flexion creases (Fig. 8) [80], the medial aspects of the arm, forearm and hand [81], the retroauricular area [82], the foot [83], other digits in cases of a concomitant malformation requiring an amputation [84,85], as well as the foreskin [86].…”