Abstract
FACIAL SKIN GRAFTING: SURGICAL TECHNIQUE AND OUTCOMES

Simon Carnot Ndrianarivony*, Sylvestre Léandre Haminason, Andry Rasolondraibe, Fenosoa Vonimbola d’Assise Rakotoarimananana, Tahiriarivelo Randriamanantena and Jhon Alberto Bam Razafindrabe

ABSTRACT

Reconstruction of facial tissue loss remains a challenge for the surgeon. Skin grafting is one of the most used techniques, despite the fact that the results are always uncertain. The objective of our work is to describe the techniques of realization of skin grafting as well as to evaluate the postoperative results. We performed a retrospective descriptive cross-sectional study for 11 months. The parameters studied were: age, sex, operative indication, type of skin graft, means of fixation, postoperative care, donor site, recipient site, results and healing time. We included 33 patients, mean age 70.99 years, male predominance with a sex ratio of 1.35. Basal cell carcinoma was the most frequent indication. The size of the loss of substance varied from 1 to 36 cm2. Total skin grafting was the most common procedure. The most preferred donor sites were the supraclavicular region and the thigh. The regions most concerned by the graft were the nose (33.33%) then the ear (24.24%). We had a 100% thin graft take and 92% for total skin graft. Hematoma and infection dominated the complications. Healing was obtained in an average of 14 days. Skin grafts are the treatment of choice for facial reconstruction. The result is often uncertain and requires a good mastery of the surgical technique.

Keywords: Face; Hematoma; Infection; Skin graft; Surgery.


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