Evaluation of Minced Skin Grafts in the Treatment of Post Burn Leukoderma | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 4, Volume 47, Issue 3, July 2023, Pages 181-186 PDF (12.93 M) | ||
| Document Type: Research article | ||
| DOI: 10.21608/ejprs.2023.309694 | ||
| Authors | ||
| Mohammed Ahmad Hussein* 1; Adel M Wilson2; Ibrahim A Botros2; Dawlat Emara2 | ||
| 1Department of plastic and reconstructive surgery, Cairo university, Cairo, Egypt | ||
| 2The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Cairo University | ||
| Abstract | ||
| Background: Post burn leukoderma had been characterized by chalk white depigmented areas of variable sizes and shapes. Re-pigmentation of the hypopigmented lesion is still a big challenge, current treatment modalities for post burn leukoderma include non-surgical techniques and many surgical interventions. Objective: To evaluate the efficacy of minced skin graft in the treatment of post burn leukoderma. Material and Methods: Twenty Patients (18 female & 2 males) with post burn leukoderma were included. Patients' age ranging from 10 to 50 years. The minimum leukoderma surface area was 0.5% whereas the maximum was 3%. Patients were assessmed one year post operatively using Vancouver Scar Scale and Patient Observer Scar Assessment Scale (POSAS). Results: Vancouver scar scale results were; Good pigmentation were obtained in 75%, Hyperpigmentation in 20% and Partial pigmentation was in 5%. For POSAS The overall patient opinion scale was 1 (which denote best skin colour) in 80%, score 2 in 10%, score 3 in 5%, score 4 in 5% of patients. Conclusion: Minced skin graft can be used safely for the treatment of post burn leukoderma. It is a simple reliable technique that can be easily integrated in our daily practice, no need for special instruments or laboratory preparations, gives a satisfactory result for patients with minimal donor morbidity. | ||
| Keywords | ||
| Leukderma; Minced grafts; Post burn | ||
| References | ||
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Schmidt M., Serror M., Chaouat M., Mimoun M. and Boccara D.: “Management of hypopigmented scars following burn injuries”, Annales de Chirurgie Plastique Esthetique, Vol. 63, No. 3, 2018. 2- Nguyen S., et al.: “Autologous Cell Suspension Grafting Using ReCell in Vitiligo and Piebaldism Patients”, Dermatol. Ther., Vol. 30, 2017. 3- El-Kamel M., et al.: “Combined treatment of post-burn leukoderma with autologous minigrafting and topical Khellin-natural sunlight among Egyptian patients”, Asian J. Dermatol., Vol. 6, p. 25-33, 2014. 4- Erol O. and Atabay K.: “ The treatment of burn scar hypopigmentation and surface irregularity by dermabrasion and thin skin grafting”, Plast. Reconstr. Surg., Vol. 85, 1990. 5- Gad S., Kishk F., Taalab A. and Gerza I.: “Laser versus dermabrasion and split thickness skin graft for management of post burn leucoderma”, Int. Surg. J., Vol. 6, 2019. 6- Cho H., et al.: “Mixed Reality and 3D Printed Models for Planning and Execution of Face Transplantation,” Ann. Surg., Vol. 274, p. 1238-E1246, 2021. 7- Srinivas C. and Rai R.: “Meshed Split Skin Graft for Extensive Vitiligo. in Pigmentary Disorders: A Comprehensive Compendium”, doi:10.5005/jp/books/12080_29, 2014. 8- Mulekar S.V., Issa A.L. and Eisa AL.: “Treatment of postburn leucoderma with non-cultured melanocytekeratinocyte transplantation (MKTP)”. Burns, Vol. 37, 2011. 9- Maranda L., et al.: “Surgical management of leukoderma after burn: A review” Burns, Vol. 44, 2018. 10- Miyanaga T., Haseda Y. and Sakagami A.: “Minced skin grafting for promoting epithelialization of the donor site after split-thickness skin grafting,” Burns, Vol. 43, 2017. 186 Vol. 47, No. 3 / Evaluation of Minced Skin Grafts in the Treatment of Post Burn Leukoderma 11- MIYANAGA T., et al. “Minced Skin Grafting for Promoting Wound Healing and Improving Donor-Site Appearance after Split-Thickness Skin Grafting: A Prospective Half- Side Comparative Trial,” Plast. Reconstr. Surg., Vol. 144, 2019. 12- Harashina T. and Iso R.: “The treatment of leukoderma after burns by a combination of dermabrasion and 'chip' skin grafting,” Br. J. Plast. Surg., Vol. 38, 1985. 13- Falabella R.: “Repigmentation of Stable Leukoderma by Autologous Minigrafting,” J. Dermatol. Surg. Oncol., Vol. 12, 1986. 14- Sarkar R., Mehta S.D. and Kanwar A.J.: “Repigmentation after autologous miniature punch grafting in segmental vitiligo in North Indian patients”, J. Dermatol., Vol. 28, 2001. 15- Fujii M., et al.: “Thin minigrafting technique for postburn leukoderma,” Dermatologic Surg., Vol. 33, 2007. 16- Iman A., et al.: “Comparison of intradermal injection of autologous epidermal cell suspension vs. spraying of these cells on dermabraded surface of skin of patients with post-burn hypopigmentation,” Indian J. Dermatol., Vol. 58, 2013. 17- Gupta D.K. and Devendra S.: “Microskin grafting for stable vitiligo of the penis and vulva: Near total uniform pigmentation”, J. Cutan. Med. Surg., Vol. 19, 2015. 18- Grover R. and Morgan G.: “Management of hypopigmentation following burn injury.” Burns, Vol. 22, 1996. 19- Gupta D.K.: “Microskin Grafting for Vitiligo. Microskin Grafting for Vitilig”, doi: 10.1007/978-1-84882-605-2, 2009. | ||
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