Evaluation of minced skin grafts in the treatment of post burn leukoderma.

Hussein, Mohammed; wilson, Adel Michel; Botros, Ibrahim Adel; Emara, Dawlat

doi:10.21608/ejprs.2023.186041.1252

	Evaluation of minced skin grafts in the treatment of post burn leukoderma.
The Egyptian Journal of Plastic and Reconstructive Surgery
Articles in Press, Accepted Manuscript, Available Online from 17 January 2023
Document Type: Original Article
DOI: 10.21608/ejprs.2023.186041.1252
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Authors
Mohammed Hussein ¹; Adel Michel wilson ²; Ibrahim Adel Botros³; Dawlat Emara ⁴
¹Department of plastic and reconstructive surgery, Cairo university, Cairo, Egypt
²department of Plastic and reconstructive surgery, Cairo University, Cairo, Egypt
³Department of plastic & reconstructive surgery, Cairo University, Cairo, Egypt
⁴Department of Plastic and reconstructive surgery, Cairo University, Cairo, Egypt
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 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% of patients, Hyperpigmentation in 20% of patients and Partial pigmentation was in 5% of patients. For POSAS The overall patient opinion scale was 1 (which denote best skin colour) in 80% of patients, score 2 in 10% of patients, score 3 in 5% of patients, score 4 in 5% of patients. Conclusion Minced skin graft can be used safely for the treatment of post burn leukoderma. It is 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
minced; grafts; burn


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