Split-Skin Grafting from the Scalp

Weyandt, Gerhard; Bauer, Boris; Berens, Nikolaus; Hamm, Henning; Broecker, Eva-B

doi:10.1111/j.1524-4725.2009.01308.x

Cited by 40 publications

(70 citation statements)

References 27 publications

(76 reference statements)

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“…In our study, we were able to quantitatively confirm the lower postoperative pain levels previously observed by Weyandt et al …”

Section: Discussionsupporting

confidence: 89%

“…For decades, dermatosurgeons have used split‐thickness skin grafts to cover tissue defects . Particular advantages of this method include the simple and gentle surgical technique as well as the possibility of closing even large defects with a low complication rate . The ideal donor site of split‐thickness skin grafts should allow for painless harvesting, and quickly heal with cosmetically pleasing results.…”

Section: Discussionmentioning

confidence: 99%

“…The study by Weyandt et al. has been the only to include dermatological patients with venous leg ulcers or individuals status post micrographically controlled surgery, thus resulting in a greater mean age (71 years). In our study, the mean age was even slightly higher (74 years in the occipital group and 78.5 years in the femoral group).…”

Section: Discussionmentioning

confidence: 99%

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Superiority of occipital donor sites for split‐thickness skin grafting in dermatosurgery: Results of a prospective randomized controlled study

Kovács

Karsai

2017

J Deutsche Derma Gesell

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“…In our study, we were able to quantitatively confirm the lower postoperative pain levels previously observed by Weyandt et al …”

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Superiority of occipital donor sites for split‐thickness skin grafting in dermatosurgery: Results of a prospective randomized controlled study

Kovács

Karsai

2017

J Deutsche Derma Gesell

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“…18 -20 Complications such as alopecia over the donor site have been found to be rare in large studies of scalp donor sites. 21,22 Thus, although 1 of our 10 patients had visible alopecia over their donor site, we found that the scalp was a welltolerated donor site, and we will continue to use it preferentially whenever possible. One important observation on the scalp donor site was that the perimeter of the harvest area extended just beyond the hairline in two subjects.…”

Section: Discussionmentioning

confidence: 90%

Late Outcomes After Grafting of the Severely Burned Face

Philp

Umraw

Cartotto

2012

Journal of Burn Care & Research

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Many approaches to surgical management of the severely burned face are described, but there are few objective outcome studies. The purpose of this study was to perform a detailed evaluation of the late outcomes in adult patients who have undergone grafting using a standardized surgical and rehabilitation approach for full-thickness (FT) facial burns to identify areas for improvement in the treatment strategy of authors. This was a prospective observational study in which patients who had undergone grafting for FT facial burns by the senior investigator at a regional burn centre between 1999 and 2010 were examined by a single evaluator. The surgical approach included tangential excision based on the facial aesthetic units, temporary cover with allograft then autografting with scalp skin preferentially, split grafts for the upper eyelid, and FT grafts for the lower eyelid. Rehabilitation included compression (uvex and or soft cloth), scar massage, and silicone gel sheeting. Of 35 patients with facial grafts, 14 subjects (age 43 ± 16 years with 22 ± 21% TBSA burns) returned for late follow-up at 40 ± 33 months (range, 5-91 months). A mean of four facial aesthetic units per patient were grafted (range, 1-9 units), with six full facial grafts performed. Scalp was used as donor in 10 of 14 cases. Scalp donor sites were well tolerated with minor alopecia visible in only one case although the donor site visibly extended slightly past the hairline in two cases. Color match with native skin was rated at 8.8 ± 0.8 of 10 when scalp skin was used compared with 7.5 ± 1.6 with other donor sites (P = .06). On the lip and chin, hypertrophic scars were significantly worse compared with the rest of the facial grafts (Vancouver scar scale 8 ± 2 vs 3 ± 1, P < .01). Sensory recovery was poor with overall moving two-point discrimination at 11 ± 3 mm (range, 4-15 mm), and monofilament light touch was 3.8 ± 0.6. Graft borders were significantly more elevated than graft seams. On the forehead, the most notable problem was a gap between the graft and hairlines of the frontal scalp and eyebrows (range, 0-40 mm). Grafted eyelids required one or more subsequent ectropion releases in the majority of cases. The most common problem for the nose was asymmetry of the nostril apertures. The most problematic late outcomes that the authors identified after facial grafting for FT facial burns included relatively poor sensory return, elevation of graft edges, eyelid ectropion, gaps between grafts and hairline, and marked hypertrophic scarring around the mouth and chin. The results indicate that possible areas for quality improvement include greater attention to the limits of scalp harvest, more attention to pressure application to graft borders and the lip and chin during rehabilitation, greater accuracy in excision and graft placement on the forehead to avoid gaps with the hairlines, and counseling of the patient regarding the high probability of diminished facial sensation.

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“…12 This property results from its thickness, its highly vascular nature, and the high density of hair follicle and epidermal stem cells. 13 This donor site also tends to be less painful during dressings than other donor sites for STSG, such as the buttocks and inner thighs.…”

Section: Resultsmentioning

confidence: 99%

Split-Thickness Skin Graft Harvested From the Scalp for the Coverage of Extensive Temple or Forehead Defects in Elderly Patients

Quilichini¹,

Benjoar

Hivelin

et al. 2012

Arch Facial Plast Surg

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Split-Skin Grafting from the Scalp

Abstract: Advantages of the scalp as a donor site include rapidity of wound healing, low risk of complications, and excellent cosmetic results. The large number of hair follicles containing the epidermal stem cell pool can explain these advantages.

Cited by 40 publications

References 27 publications

Superiority of occipital donor sites for split‐thickness skin grafting in dermatosurgery: Results of a prospective randomized controlled study

Superiority of occipital donor sites for split‐thickness skin grafting in dermatosurgery: Results of a prospective randomized controlled study

Late Outcomes After Grafting of the Severely Burned Face

Split-Thickness Skin Graft Harvested From the Scalp for the Coverage of Extensive Temple or Forehead Defects in Elderly Patients

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