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The disposable epidermis is removed and it is replaced with the split-thickness skin graft when matrix becomes vascularized.
After a crestal incision with a microsurgical blade (SM69, Swann Morton LTD®, Sheffield, England), the split-thickness flap was sharply prepared by elevating the area of the single tooth gap to the middle of the adjacent teeth.
For the wide range of skin defects of the anterior chest wall, split thickness skin grafts from the left thigh using a dermatome were implanted to cover the reconstructed organs and wide skin defect (Figures 3b and 4a). Figure 2 Schema of the reconstructed esophageal conduit.
Covering the surface of the muscle flap with split thickness skin grafts leads to resistance against chronic mechanical stress and has a better aesthetic result.
We did not cover the granulation tissue with a split thickness skin graft at the proximal part of the defect.
Successful cover was achieved in all cases, with the need of additional split thickness skin grafts in 33%% of patients.
The reconstruction methods included split thickness skin graft and free vascular myocutaneous flap.
The donor site was covered with a split thickness skin graft from the thigh (Fig. 3).
However, we have successfully closed the ulcers with Integra artificial skin and ultra-thin split thickness skin grafting with the scalp as donor site.
In our method, the anastomotic site was fully covered with the pectoralis major muscle flap, and the esophageal conduit was covered with a split thickness skin graft.
At first, a midcrestal incision was performed in the residual keratinized band and a split thickness flap was raised.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com