Eur J Plast Surg (2013) 36:395–396 DOI 10.1007/s00238-012-0750-y LETTER TO THE EDITOR Overlapping of split-thickness skin grafts to prevent junctional hypertrophy A. Wiberg & R. Alamouti & S. Mashhadi Received: 17 June 2012 /Accepted: 16 July 2012 /Published online: 7 August 2012 Springer-Verlag 2012 Sir, that this technique can cause hypertrophy and ridging or Split- or partial-thickness skin grafting is one of the oldest delayed wound healing at the junction between the two procedures performed in plastic surgery  and is the most grafts, as can be seen in Fig. 1. commonly used procedure for reconstructing defects of However, we have found that this junctional ridging can various sizes and anatomical locations . When defects be avoided by laying down the two grafts side-by-side with are large, it is frequently not possible to provide wound an overlap of 3–5 mm and leaving the junction between the coverage with one split-thickness skin graft alone due to two grafts unsecured. This is demonstrated in Fig. 2 (left limitations in the width of the graft that can be harvested panel). The two grafts are secured to the wound edges with with an electric dermatome or hand-held knife. In these fast-absorbing sutures. The
European Journal of Plastic Surgery – Springer Journals
Published: Jun 1, 2013
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