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Application of Skin Stretching Technique for Closure of Large Surface Skin Defects | OMICS International| Abstract
ISSN: 2161-119X

Otolaryngology: Open Access
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  • Research Article   
  • Otolaryngol (Sunnyvale) 2017, Vol 7(4): 316
  • DOI: 10.4172/2161-119X.1000316

Application of Skin Stretching Technique for Closure of Large Surface Skin Defects

Shcherbakova MA1,2, Trusov AV2, Rybchenok VV1, Fomina MG2, Bataev SKhM1, Starostin OI2 and Oleynikova YV2
1Scientific Research Institute for Pediatric Surgery, , Pirogov Russian National Research Medical University, SI RAS, 117997, Moscow, Russia
2Speransky Children’s Hospital, 123317, Moscow, , Russia
*Corresponding Author : Shcherbakova MA,Trusov AV,Rybchenok VV,Fomina MG,Bataev SKhM,Starostin OI,Oleynikova YV

Received Date: Jun 24, 2017 / Accepted Date: Aug 09, 2017 / Published Date: Aug 16, 2017

Abstract

Closure of large defects skin surface after extensive burns remains an important issue in plastic and reconstructive surgery. Deficit of intact skin dictates a careful and creative approach to surfaces of normal skin. Skin stretching technique using tissue expansion device is a promising approach to treat the little patients with large skin defects. The goal of this approach is to form a full-thickness skin flap of a desired size in cases where skin surfaces, typical for taking a graft, are limited in area or damaged. The resulting skin graft, obtained by our method, could be used on various body parts. We have treated 25 patients with large defects of skin surface using skin stretching technique. 24 patients had burn trauma and one child had a trauma related to a car accident. All patients had cicatricial deformations and various degrees of contractures, which were associated with significant limitations in their everyday life. Using skin stretching devices we were able to get full-thickness skin grafts ranging to 300 sq cm. Scar deformations and contractures were corrected in all patients. Skin stretching technique has been proven to be a useful method in treating large surface skin defects in pediatric patients with various burns, cicatricial contractures, other traumatic causes of skin defects. Skin stretching technique allows receiving a full-thickness skin graft of a desired size similar to normal skin. This method solves a problem of lack of skin graft for closure of large wound areas.

Keywords: Tissue expansion; Post-burn scars in children; Fullthickness skin graft; Burns in children; Cicatricial deformations

Citation: Shcherbakova MA, Trusov AV, Rybchenok VV, Fomina MG, Bataev SKhM, et al. (2017) Application of Skin Stretching Technique for Closure of Large Surface Skin Defects. Otolaryngol (Sunnyvale) 7:316. Doi: 10.4172/2161-119X.1000316

Copyright: © 2017 Shcherbakova MA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

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