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Procurement of dermal graft from the suprapubic or inguinal fold region with primary linear closure
1Section Oral and Maxillofacial Surgery, Loyola University Medical Center, Maywood 60153.
Objective:
To report on two cosmetically advantageous sites for the harvesting of dermal grafts. The traditional method of dermal graft harvest using a dermatome may leave an unsightly defect.
Materials And Methods:
Thirty-eight dermal grafts were harvested from either the inguinal fold or the suprapubic region. A freehand harvesting technique was used. The patients were all female and were having concurrent temporomandibular joint procedures. The donor sites were monitored for cosmetic result, patient satisfaction, and complications.
Results:
All donor site wounds were determined to be cosmetically acceptable. The scars were well placed in anatomic skin folds. One complication, a seroma, was reported.
Conclusions:
Freehand graft harvest with primary closure provides an acceptable defect. The use of this technique in anatomically advantageous areas successfully conceals the resultant scar for heightened cosmesis.