TY - JOUR
T1 - Early wound healing of the hard-palate mucosal harvest site using artificial dermis fixation by a transparent plate
AU - Suzuki, Yushi
AU - Tanaka, Ichiro
AU - Sakai, Shigeki
AU - Yamauchi, Tomohiro
N1 - Funding Information:
This study was supported by a research fund from Tokyo Dental College.
Publisher Copyright:
© 2021 The Korean Society of Plastic and Reconstructive Surgeons.
PY - 2021/3
Y1 - 2021/3
N2 - Background There are currently no guidelines for the postoperative wound management of the hard-palate donor site in cases involving mucosal harvesting. This study describes our experiences with the use of an artificial dermis for early epithelialization and transparent plate fixation in cases involving hard-palate mucosal harvesting. Methods A transparent palatal plate was custom-fabricated using a thermoplastic resin board. After mucosal harvesting, an alginic acid-containing wound dressing (Sorbsan) was applied to the donor site, which was then covered with the plate. After confirming hemosta-sis, the dressing was changed to artificial dermis a few days later, and the plate was fixed to the artificial dermis. The size of the mucosal defect ranged from 8× 25 to 20× 40 mm. Results Plate fixation was adequate, with no postoperative slippage or infection of the artificial dermis. There was no pain at the harvest site, but a slight sense of incongruity during eating was reported. Although the fabrication and application of the palatal plate required extra steps before and after harvesting, the combination of the artificial dermis and palatal plate was found to be very useful for protecting the mucosal harvest site, and resulted in de-creased pain and earlier epithelialization. Conclusions The combination of artificial dermis and a transparent palatal plate for wound management at the hard-palate mucosal donor site resolved some of the limitations of con-ventional methods.
AB - Background There are currently no guidelines for the postoperative wound management of the hard-palate donor site in cases involving mucosal harvesting. This study describes our experiences with the use of an artificial dermis for early epithelialization and transparent plate fixation in cases involving hard-palate mucosal harvesting. Methods A transparent palatal plate was custom-fabricated using a thermoplastic resin board. After mucosal harvesting, an alginic acid-containing wound dressing (Sorbsan) was applied to the donor site, which was then covered with the plate. After confirming hemosta-sis, the dressing was changed to artificial dermis a few days later, and the plate was fixed to the artificial dermis. The size of the mucosal defect ranged from 8× 25 to 20× 40 mm. Results Plate fixation was adequate, with no postoperative slippage or infection of the artificial dermis. There was no pain at the harvest site, but a slight sense of incongruity during eating was reported. Although the fabrication and application of the palatal plate required extra steps before and after harvesting, the combination of the artificial dermis and palatal plate was found to be very useful for protecting the mucosal harvest site, and resulted in de-creased pain and earlier epithelialization. Conclusions The combination of artificial dermis and a transparent palatal plate for wound management at the hard-palate mucosal donor site resolved some of the limitations of con-ventional methods.
KW - Entropion
KW - Eyelids
KW - Palate Hard
KW - Reconstructive surgical procedures
UR - http://www.scopus.com/inward/record.url?scp=85103490656&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85103490656&partnerID=8YFLogxK
U2 - 10.5999/aps.2020.00843
DO - 10.5999/aps.2020.00843
M3 - Article
AN - SCOPUS:85103490656
VL - 48
SP - 208
EP - 212
JO - Archives of Plastic Surgery
JF - Archives of Plastic Surgery
SN - 2234-6163
IS - 2
ER -