Full-thickness skin grafting with marginal deepithelialization of the defect for reconstruction of helical rim keloids

Jin Sik Burm, Juliana E. Hansen

    Research output: Contribution to journalArticle

    6 Scopus citations

    Abstract

    Excising a keloid from the helical rim generally results in a narrow defect with exposed cartilage. Skin grafting is a surgical method with a lowest recurrence rate for keloid treatment. Full-thickness skin grafting may produce an excellent cosmetic outcome, but is generally considered too unreliable over a poorly vascularized defect with exposed cartilage. Adding a new healthy bed with rich vascularity on the periphery will increase the probability of the entire graft surviving via the bridging phenomenon. We report full-thickness skin grafting using a marginal deepithelialization technique for treatment of helical rim keloids. After keloid excision, the surrounding normal skin was deepithelialized 2 to 3 mm wide over the defect border, followed by full-thickness skin grafting. All grafts survived completely. None of the keloids recurred, and they all showed an excellent aesthetic result during the follow-up period from 9 months to 6 years.

    Original languageEnglish (US)
    Pages (from-to)193-196
    Number of pages4
    JournalAnnals of plastic surgery
    Volume65
    Issue number2
    DOIs
    StatePublished - Aug 1 2010

    Keywords

    • excision
    • full-thickness skin grafting
    • helical rim
    • keloid
    • marginal deepithelialization

    ASJC Scopus subject areas

    • Surgery

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