J Korean Soc Surg Hand.  2014 Sep;19(3):109-115. 10.12790/jkssh.2014.19.3.109.

The Usefulness of Retroauricular Full Thickness Skin Graft in Hand Reconstruction

Affiliations
  • 1Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital, Busan, Korea. Sangwind@hanmail.net

Abstract

PURPOSE
We used the retroauricular area skin as an alternative full-thickness skin donor site in the hand reconstruction surgery.
METHODS
From January 2006 to March 2013, 55 patients observed more than 1 year, were recruited for the study. In case of requiring the skin graft on hand, we grafted skins were harvested from the retroauricular area on hand. To assess the subjective and objective satisfaction, the patients themselves and three doctors compared the skin graft area's color with adjacent skin and estimated the donor site scar on a five-point scale.
RESULTS
A partial necrosis was seen in one case who received skin graft because of a burn scar contracture, but it was cured with conservative treatment. In other cases, the skin graft was well taken without any specific problems. The retroauricular skin graft showed good color match with adjacent skin and less pigmentation. Donor site scar was not noticeable. As a result, the patient's subjective satisfaction (4.07) and doctor's objective satisfaction (4.18) about skin graft were very good. And the patient's subjective satisfaction (4.93) and doctor's objective satisfaction (4.98) about donor site scar were also very good.
CONCLUSION
We obtained the favorable result and the patients satisfaction by using the retroauricular area as a full thickness skin graft donor site in hand.

Keyword

Hand injury; Hyperpigmentation; Skin graft

MeSH Terms

Burns
Cicatrix
Contracture
Hand Injuries
Hand*
Humans
Hyperpigmentation
Necrosis
Pigmentation
Skin*
Tissue Donors
Transplants*
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