Joint application of artificial dermis and autologous split thickness skin graft in scar plastic surgery

Abstract

Objective To observe the clinical effects of dermis combined autologous transplants in patients with abnormal scar thickness skin graft. Methods 13 cases of scar deformity were selected during August 2011 to December 2014 in our hospital. In stage 1 procedure, the scars that affected the function and induced deformities were resected and then the artificial dermis covering the wound was placed; in stage 2, two weeks after the artificial dermis vascularization, autologous skin grafts were removed to repair the wound edge. Meanwhile, therapy of inhibiting scar after conventional treatment was conducted with funcitional exercise. Results 13 cases were scheduled to repair scar wounds, underwent surgery with more than 6 months follow-up observation. The dysfunctions caused by scar contracture and deformity were significantly improved; appearance, elasticity and appearance of the skin grafts were similar to autologous skin graft with the desired clinical effect. Conclusions Artificial dermis combined autologous skin graft treatment of patients with scar deformity can achieve similar clinical effects to traditional treatment methods. Key words: Scar; Artificial dermis; Deformity; Thick edge