Skin and composite grafts

Katherine Hicks,J Regan Thomas

doi:10.20517/2347-9264.2021.65

Abstract

Skin grafts may be used for coverage of facial defects in situations in which alternative methods of reconstruction, such as local flaps, are not an option. They may also be beneficial for patients who wish to avoid or who are not good candidates for more complex reconstruction. Full-thickness skin grafts often have a better color and texture match to adjacent skin when compared to split-thickness grafts; however, split-thickness grafts have lower metabolic demand and increased survival rate. Composite grafts may be very useful in the repair of defects with unique contour and support requirements, such as the nasal ala and eyelid. With all grafts, thoughtful planning and sound surgical technique are critical in achieving the best possible functional and aesthetic result.

Highlights

Skin grafts and composite grafts have many uses in the repair of facial defects
Skin grafts may be used for coverage of facial defects in situations in which alternative methods of reconstruction, such as local flaps, are not an option
Full-thickness skin grafts often have a better color and texture match to adjacent skin when compared to split-thickness grafts; split-thickness grafts have lower metabolic demand and increased survival rate

Summary

Introduction

Skin grafts and composite grafts have many uses in the repair of facial defects. They are well-suited for defects for which local or regional flaps are not viable options or for patients who are not interested in or medically stable enough for a more extensive procedure. Composite grafts may be very useful in the repair of defects with unique contour and support requirements, such as the nasal ala and eyelid. Skin grafts and composite grafts have many uses in the repair of facial defects.

Results

Conclusion