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Outcome of Dermal Grafting in the Management of Atrophic Facial Scars
BACKGROUND: Scars over the face are cosmetically and psychologically disturbing. Various techniques have been described and are being practiced in the management of these scars. AIMS AND OBJECTIVES: This study was undertaken to study the safety, effectiveness of using dermal grafts as fillers in the...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5227078/ https://www.ncbi.nlm.nih.gov/pubmed/28163456 http://dx.doi.org/10.4103/0974-2077.197077 |
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author | Shilpa, Kanathur Sacchidanand, S Leelavathy, Budamakuntla Shilpashree, Padmanabha Divya, Gorur Ranjitha, Rammurthy Lakshmi, DV |
author_facet | Shilpa, Kanathur Sacchidanand, S Leelavathy, Budamakuntla Shilpashree, Padmanabha Divya, Gorur Ranjitha, Rammurthy Lakshmi, DV |
author_sort | Shilpa, Kanathur |
collection | PubMed |
description | BACKGROUND: Scars over the face are cosmetically and psychologically disturbing. Various techniques have been described and are being practiced in the management of these scars. AIMS AND OBJECTIVES: This study was undertaken to study the safety, effectiveness of using dermal grafts as fillers in the management of facial scars due to acne, chickenpox, trauma or any others. MATERIALS AND METHODS: Fifteen patients with atrophic facial scars of varied aetiology and willing for surgery were considered for dermal graft technique. After pre-operative workup, subcision was done 2 weeks before planned surgery. Depending on the type of scar, grafts were inserted using pocket or road railing techniques. Scar improvement was assessed based on patient satisfaction. RESULTS: Linear scars showed excellent improvement. Acne, varicella and traumatic scars also showed good improvement. However, two patients did not appreciate improvement due to marked surface irregularities as the scars were elevated. They were further subjected to LASER and chemical peel resurfacing. CONCLUSION: Dermal grafting can be used in the management of any round to oval facial scar which is soft, prominent and at least 4–5 mm across; linear scars at least 2–3 mm across and 3–4 cm in length. However, scars with prominent surface irregularities need further resurfacing techniques along with dermal grafting. LIMITATIONS: Limitations of the study include small sample size, and only subjective assessment of the scar has been taken into consideration to assess the outcome. |
format | Online Article Text |
id | pubmed-5227078 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-52270782017-02-03 Outcome of Dermal Grafting in the Management of Atrophic Facial Scars Shilpa, Kanathur Sacchidanand, S Leelavathy, Budamakuntla Shilpashree, Padmanabha Divya, Gorur Ranjitha, Rammurthy Lakshmi, DV J Cutan Aesthet Surg Original Article BACKGROUND: Scars over the face are cosmetically and psychologically disturbing. Various techniques have been described and are being practiced in the management of these scars. AIMS AND OBJECTIVES: This study was undertaken to study the safety, effectiveness of using dermal grafts as fillers in the management of facial scars due to acne, chickenpox, trauma or any others. MATERIALS AND METHODS: Fifteen patients with atrophic facial scars of varied aetiology and willing for surgery were considered for dermal graft technique. After pre-operative workup, subcision was done 2 weeks before planned surgery. Depending on the type of scar, grafts were inserted using pocket or road railing techniques. Scar improvement was assessed based on patient satisfaction. RESULTS: Linear scars showed excellent improvement. Acne, varicella and traumatic scars also showed good improvement. However, two patients did not appreciate improvement due to marked surface irregularities as the scars were elevated. They were further subjected to LASER and chemical peel resurfacing. CONCLUSION: Dermal grafting can be used in the management of any round to oval facial scar which is soft, prominent and at least 4–5 mm across; linear scars at least 2–3 mm across and 3–4 cm in length. However, scars with prominent surface irregularities need further resurfacing techniques along with dermal grafting. LIMITATIONS: Limitations of the study include small sample size, and only subjective assessment of the scar has been taken into consideration to assess the outcome. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC5227078/ /pubmed/28163456 http://dx.doi.org/10.4103/0974-2077.197077 Text en Copyright: © 2016 Journal of Cutaneous and Aesthetic Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Shilpa, Kanathur Sacchidanand, S Leelavathy, Budamakuntla Shilpashree, Padmanabha Divya, Gorur Ranjitha, Rammurthy Lakshmi, DV Outcome of Dermal Grafting in the Management of Atrophic Facial Scars |
title | Outcome of Dermal Grafting in the Management of Atrophic Facial Scars |
title_full | Outcome of Dermal Grafting in the Management of Atrophic Facial Scars |
title_fullStr | Outcome of Dermal Grafting in the Management of Atrophic Facial Scars |
title_full_unstemmed | Outcome of Dermal Grafting in the Management of Atrophic Facial Scars |
title_short | Outcome of Dermal Grafting in the Management of Atrophic Facial Scars |
title_sort | outcome of dermal grafting in the management of atrophic facial scars |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5227078/ https://www.ncbi.nlm.nih.gov/pubmed/28163456 http://dx.doi.org/10.4103/0974-2077.197077 |
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