Evaluation of Minced Skin Grafts in the Treatment of Post Burn Leukoderma

Hussein, Mohammed Ahmad; Wilson, Adel M; Botros, Ibrahim A; Emara, Dawlat

doi:10.21608/ejprs.2023.309694

Evaluation of Minced Skin Grafts in the Treatment of Post Burn Leukoderma

Document Type : Research article

Authors

¹ Department of plastic and reconstructive surgery, Cairo university, Cairo, Egypt

² The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Cairo University

10.21608/ejprs.2023.309694

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

Main Subjects

Burns

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