Zilinsky I, Farber N, Weissman O, Israeli H, Haik J, Domniz N, Winkler E. Defying consensus: correct sizing of full-thickness skin grafts. J Drugs Dermatol. 2012 Apr;11(4):520-3. PMID: 22453591.

Abstract

Background: 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.

Objective: To evaluate discrepancy in size between the excised full-thickness skin and the excision (donor) site.

Methods: Data from 20 cases of full-thickness excisions was reviewed and analyzed.

Results: There was a considerable difference in length of both the short and long axes between the excised full-thickness skin and the excision site.

Conclusions: The initial size of a full-thickness skin graft should be smaller than the defect it is planned to cover.

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