A study to compare efficacy of non cultured autologus melanocyte transfer versus punch grafting technique for stable vitiligo patients

Background: Vitiligo is a common acquired idiopathic hypomelanosis, which is characterized by loss of melanocytes in the epidermis associated with autoimmune and hereditary causes. The various surgical modalities available are tissue grafting techniques such as punch grafts, suction blister grafts,...

Full description

Bibliographic Details
Main Authors: Ambresh S Badad, Amrit Singh Bhatia, Ashok Hogade, Shruti Ambresh Badad, Debdeep Mitra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Clinical Dermatology Review
Subjects:
Online Access:http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2022;volume=6;issue=2;spage=127;epage=132;aulast=Badad
_version_ 1818482871554277376
author Ambresh S Badad
Amrit Singh Bhatia
Ashok Hogade
Shruti Ambresh Badad
Debdeep Mitra
author_facet Ambresh S Badad
Amrit Singh Bhatia
Ashok Hogade
Shruti Ambresh Badad
Debdeep Mitra
author_sort Ambresh S Badad
collection DOAJ
description Background: Vitiligo is a common acquired idiopathic hypomelanosis, which is characterized by loss of melanocytes in the epidermis associated with autoimmune and hereditary causes. The various surgical modalities available are tissue grafting techniques such as punch grafts, suction blister grafts, and split-thickness grafts as well as cellular grafts such as autologous noncultured epidermal cell suspensions and cultured melanocyte suspensions. Objective: We aimed to study and compare the efficacy of noncultured melanocyte transfer technique and punch grafting technique in the management of stable vitiligo. Materials and Methods: Fifty patients of both sexes between the ages of 15 and 50 years having stable vitiligo for minimum 1 year were included in the study and divided in two groups. Group 1 was treated with autologous noncultured melanocyte-rich cell suspension and Group 2 was treated by punch grafting technique. Response to treatment was evaluated on the basis of degree of repigmentation (both subjective and objective assessment), which was carried out at monthly intervals for a period of 6 months along with clinical photographs. Results: The results were statistically analyzed using “Chi-square test” and “statistical significance” (p-value) methods. An excellent (>75% repigmentation) result was obtained in 77.27% of patients by NCMT (noncultured melanocyte transfer) technique whereas good (60%–75% repigmentation) result was obtained in 78.57% of patients by punch grafting technique after 6 months. Conclusion: Noncultured melanocyte transfer is a simple and effective technique to produce uniform pigmentation in short duration and is suitable to cover large body surface areas with a cosmetically better outcome and is better than punch grafting.
first_indexed 2024-12-10T11:52:26Z
format Article
id doaj.art-6d97ca37823945f79f9294b372ff3cc3
institution Directory Open Access Journal
issn 2542-551X
2542-5528
language English
last_indexed 2024-12-10T11:52:26Z
publishDate 2022-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Clinical Dermatology Review
spelling doaj.art-6d97ca37823945f79f9294b372ff3cc32022-12-22T01:49:53ZengWolters Kluwer Medknow PublicationsClinical Dermatology Review2542-551X2542-55282022-01-016212713210.4103/cdr.cdr_66_21A study to compare efficacy of non cultured autologus melanocyte transfer versus punch grafting technique for stable vitiligo patientsAmbresh S BadadAmrit Singh BhatiaAshok HogadeShruti Ambresh BadadDebdeep MitraBackground: Vitiligo is a common acquired idiopathic hypomelanosis, which is characterized by loss of melanocytes in the epidermis associated with autoimmune and hereditary causes. The various surgical modalities available are tissue grafting techniques such as punch grafts, suction blister grafts, and split-thickness grafts as well as cellular grafts such as autologous noncultured epidermal cell suspensions and cultured melanocyte suspensions. Objective: We aimed to study and compare the efficacy of noncultured melanocyte transfer technique and punch grafting technique in the management of stable vitiligo. Materials and Methods: Fifty patients of both sexes between the ages of 15 and 50 years having stable vitiligo for minimum 1 year were included in the study and divided in two groups. Group 1 was treated with autologous noncultured melanocyte-rich cell suspension and Group 2 was treated by punch grafting technique. Response to treatment was evaluated on the basis of degree of repigmentation (both subjective and objective assessment), which was carried out at monthly intervals for a period of 6 months along with clinical photographs. Results: The results were statistically analyzed using “Chi-square test” and “statistical significance” (p-value) methods. An excellent (>75% repigmentation) result was obtained in 77.27% of patients by NCMT (noncultured melanocyte transfer) technique whereas good (60%–75% repigmentation) result was obtained in 78.57% of patients by punch grafting technique after 6 months. Conclusion: Noncultured melanocyte transfer is a simple and effective technique to produce uniform pigmentation in short duration and is suitable to cover large body surface areas with a cosmetically better outcome and is better than punch grafting.http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2022;volume=6;issue=2;spage=127;epage=132;aulast=Badadnoncultured melanocyte transfer techniquepunch grafting techniquevitiligo
spellingShingle Ambresh S Badad
Amrit Singh Bhatia
Ashok Hogade
Shruti Ambresh Badad
Debdeep Mitra
A study to compare efficacy of non cultured autologus melanocyte transfer versus punch grafting technique for stable vitiligo patients
Clinical Dermatology Review
noncultured melanocyte transfer technique
punch grafting technique
vitiligo
title A study to compare efficacy of non cultured autologus melanocyte transfer versus punch grafting technique for stable vitiligo patients
title_full A study to compare efficacy of non cultured autologus melanocyte transfer versus punch grafting technique for stable vitiligo patients
title_fullStr A study to compare efficacy of non cultured autologus melanocyte transfer versus punch grafting technique for stable vitiligo patients
title_full_unstemmed A study to compare efficacy of non cultured autologus melanocyte transfer versus punch grafting technique for stable vitiligo patients
title_short A study to compare efficacy of non cultured autologus melanocyte transfer versus punch grafting technique for stable vitiligo patients
title_sort study to compare efficacy of non cultured autologus melanocyte transfer versus punch grafting technique for stable vitiligo patients
topic noncultured melanocyte transfer technique
punch grafting technique
vitiligo
url http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2022;volume=6;issue=2;spage=127;epage=132;aulast=Badad
work_keys_str_mv AT ambreshsbadad astudytocompareefficacyofnonculturedautologusmelanocytetransferversuspunchgraftingtechniqueforstablevitiligopatients
AT amritsinghbhatia astudytocompareefficacyofnonculturedautologusmelanocytetransferversuspunchgraftingtechniqueforstablevitiligopatients
AT ashokhogade astudytocompareefficacyofnonculturedautologusmelanocytetransferversuspunchgraftingtechniqueforstablevitiligopatients
AT shrutiambreshbadad astudytocompareefficacyofnonculturedautologusmelanocytetransferversuspunchgraftingtechniqueforstablevitiligopatients
AT debdeepmitra astudytocompareefficacyofnonculturedautologusmelanocytetransferversuspunchgraftingtechniqueforstablevitiligopatients
AT ambreshsbadad studytocompareefficacyofnonculturedautologusmelanocytetransferversuspunchgraftingtechniqueforstablevitiligopatients
AT amritsinghbhatia studytocompareefficacyofnonculturedautologusmelanocytetransferversuspunchgraftingtechniqueforstablevitiligopatients
AT ashokhogade studytocompareefficacyofnonculturedautologusmelanocytetransferversuspunchgraftingtechniqueforstablevitiligopatients
AT shrutiambreshbadad studytocompareefficacyofnonculturedautologusmelanocytetransferversuspunchgraftingtechniqueforstablevitiligopatients
AT debdeepmitra studytocompareefficacyofnonculturedautologusmelanocytetransferversuspunchgraftingtechniqueforstablevitiligopatients