Defying consensus: correct sizing of full-thickness skin grafts
Zilinsky, I.; Farber, N.; Weissman, O.; Israeli, H.; Haik, J.; Domniz, N.; Winkler, E.
Journal of Drugs in Dermatology Jdd 11(4): 520-523
2012
ISSN/ISBN: 1545-9616 PMID: 22453591 Document Number: 11928
Full-Thickness skin grafts are routinely used to reconstruct defects throughout the body. When planning the size of the graft, the surgeon usually copies a template from the defect and measures the graft to fit its full dimensions. This may lead to an oversized graft, resulting an unaesthetic outcome. To evaluate discrepancy in size between the excised full-thickness skin and the excision (donor) site. Data from 20 cases of full-thickness excisions was reviewed and analyzed. There was a considerable difference in length of both the short and long axes between the excised full-thickness skin and the excision site. The initial size of a full-thickness skin graft should be smaller than the defect it is planned to cover.
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