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.
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.
View on SCiNiTO
Top