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Absence of pathological scarring in the donor site of the scalp in burns: An analysis of 295 cases
Authors:Jayme Adriano Farina Junior  Frederico AS Freitas  Luis F Ungarelli  Janine M Rodrigues  Lidia A Rossi
Institution:1. Division of Plastic Surgery, Hospital das Clínicas de Ribeirão Preto, FMRP, Universidade de São Paulo, Sao Paulo, Brazil;2. Department of General and Specialized Nursing, College of Nursing, Universidade de São Paulo, Ribeirão Preto, Brazil;1. Service d’urologie-andrologie, CHU de Brazzaville, BP 2522, Brazzaville, Congo;2. Service de réanimation Polyvalente, CHU de Brazzaville, Brazzaville, Congo;3. Service de chirurgie, hôpital de base Makélékélé, Brazzaville, Congo;4. Service de traumatologie-orthopédie, CHU de Brazzaville, Brazzaville, Congo;1. Institute of Plasma Physics, Chinese Academy of Sciences, Anhui, China;2. School of Nuclear Science and Technology, University of Science & Technology of China, Anhui, China;3. Department of Computer Science, Anhui Medical University, Anhui, China;4. General Atomics, DIII-D National Fusion Facility, San Diego, CA, USA;1. Department of Neurology, University of Virginia, Charlottesville, Virginia;2. Department of Pediatrics, University of Virginia, Charlottesville, Virginia;1. Department of Chemical and Environmental Engineering, University of Nottingham, University Park, Nottingham NG7 2RD, UK;2. School of Food Science and Nutrition, University of Leeds, Woodhouse Lane, Leeds LS2 9JT, UK;3. Pharmaceutical Development, AstraZeneca, Silk Road Business Park, Macclesfield SK10 2NA, UK;4. College of Engineering and Physical Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK;5. Institute of Particle Science and Engineering, University of Leeds, Woodhouse Lane, Leeds LS2 9JT, UK;1. Center for Integrative Medicine, School of Medicine, University of Maryland, Baltimore, MD 21201, USA;2. Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, PR China;3. Department of Neural and Pain Sciences, Dental School, University of Maryland, Baltimore, MD 21201, USA
Abstract:AimThis study aims to describe the incidence of complications on scalp from which a thin split-skin graft was harvested (0.005–0.007 in.) of the donor site in children and adult burn victims.MethodsWe reviewed the medical records of 295 burn patients admitted in the Burn Unit of the Clinical Hospital of the Faculty of Medicine of Ribeirão Preto, from January 1998 to December 2007, whose scalps were used as donor site for grafts. Skin-graft thickness varied from 0.005 in. to 0.007 in. The occurrence of pathological healing was evaluated clinically and the time of epithelisation by the main surgeon and a plastic surgeon or a staff nurse.ResultsOf the 295 patients whose scalps were used as donor site, 274 were followed from 6 months to 10 years after the procedure (median 18.2 months). Twenty-one patients were lost to follow-up in the first 6 months. No hypertrophic scarring or keloids on the donor site was observed. Five patients (1.82%) presented with folliculitis and two of them were evaluated with small areas of alopecia (0.7%), treated with resection of these areas and primary suture. The average time of epithelisation of the donor site was 7 days.ConclusionThe harvest of thinner split graft from the scalp is a safe procedure.
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