A single-institution, retrospective case series was reviewed, which included 128 patients over a 10-year period undergoing excision of suspicious skin lesions requiring FTSG. All excised lesions were obtained from the head and neck region under local anesthesia by two consultant surgeons.
In total, 128 skin lesions were excised and reconstructed with FTSG from the head and neck regions; nasal lesions were the most common site (Figure 3).
Fortunately, FTSG in this area provides a favorable cosmetic result, and patients are generally satisfied with the outcome.
All methods of securing FTSG to the recipient bed utilize the principle of complete adherence of the graft to its bed until the union occurs (7).
The aim of this study was to evaluate the clinical outcome of through-and-through mattress suturing of FTSG in the head and neck region in comparison to the traditional techniques, and while this seems locally adequate, it would be reasonable to compare the local practice to outcomes elsewhere.
(11) found that FTSG applied to the periorbital area and nose contracted more than those applied to the scalp and temple areas, which may result in a poor cosmetic outcome.
Split-Thickness Skin Grafting Full-Thickness Skin Grafting Split-Thickness Skin Grafting (FTSG
) (STSG) Consists of entire epidermis, Contains epidermis, some amounts dermis of dermis Usually used for small areas due Usually used for extensive skin to minimal donors coverage (e.g., cancer resections, burns) Produces minimal contraction Most susceptible to post-graft contraction Demonstrates greatest resistance Less resistant to surface trauma to trauma Possible aesthetic complication Easily vascularized, survives due to skin color mismatch transplantation more reliably (thinner than FTSG
) Longer revascularization process Donor sites heal effectively compared to STSG due to thickness based on thickness of STSG.