Evaluation of minced skin grafts in the treatment of post burn leukoderma. | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 17 January 2023 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2023.186041.1252 | ||
| Authors | ||
| Mohammed Hussein* 1; Adel Michel wilson2; Ibrahim Adel Botros3; Dawlat Emara4 | ||
| 1Department of plastic and reconstructive surgery, Cairo university, Cairo, Egypt | ||
| 2department of Plastic and reconstructive surgery, Cairo University, Cairo, Egypt | ||
| 3Department of plastic & reconstructive surgery, Cairo University, Cairo, Egypt | ||
| 4Department of Plastic and reconstructive surgery, Cairo University, Cairo, Egypt | ||
| 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 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% of patients, Hyperpigmentation in 20% of patients and Partial pigmentation was in 5% of patients. For POSAS The overall patient opinion scale was 1 (which denote best skin colour) in 80% of patients, score 2 in 10% of patients, score 3 in 5% of patients, score 4 in 5% of patients. Conclusion Minced skin graft can be used safely for the treatment of post burn leukoderma. It is 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 | ||
| minced; grafts; burn | ||
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