Hussein, M., Wilson, A., Botros, I., Emara, D. (2023). Evaluation of Minced Skin Grafts in the Treatment of Post Burn Leukoderma. The Egyptian Journal of Plastic and Reconstructive Surgery, 47(3), 181-186. doi: 10.21608/ejprs.2023.309694
Mohammed Ahmad Hussein; Adel M Wilson; Ibrahim A Botros; Dawlat Emara. "Evaluation of Minced Skin Grafts in the Treatment of Post Burn Leukoderma". The Egyptian Journal of Plastic and Reconstructive Surgery, 47, 3, 2023, 181-186. doi: 10.21608/ejprs.2023.309694
Hussein, M., Wilson, A., Botros, I., Emara, D. (2023). 'Evaluation of Minced Skin Grafts in the Treatment of Post Burn Leukoderma', The Egyptian Journal of Plastic and Reconstructive Surgery, 47(3), pp. 181-186. doi: 10.21608/ejprs.2023.309694
Hussein, M., Wilson, A., Botros, I., Emara, D. Evaluation of Minced Skin Grafts in the Treatment of Post Burn Leukoderma. The Egyptian Journal of Plastic and Reconstructive Surgery, 2023; 47(3): 181-186. doi: 10.21608/ejprs.2023.309694
Evaluation of Minced Skin Grafts in the Treatment of Post Burn Leukoderma
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.
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