Early wound healing of the hard-palate mucosal harvest site using artificial dermis fixation by a transparent plate
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 invol...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2021-03-01
|
| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.00843 |
| _version_ | 1811213027248177152 |
|---|---|
| author | Yushi Suzuki Ichiro Tanaka Shigeki Sakai Tomohiro Yamauchi |
| author_facet | Yushi Suzuki Ichiro Tanaka Shigeki Sakai Tomohiro Yamauchi |
| author_sort | Yushi Suzuki |
| collection | DOAJ |
| description | 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 hemostasis, 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 decreased 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 conventional methods. |
| first_indexed | 2024-04-12T05:39:17Z |
| format | Article |
| id | doaj.art-d5c25b26d4a24181962c2eef82c4750a |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-12T05:39:17Z |
| publishDate | 2021-03-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-d5c25b26d4a24181962c2eef82c4750a2022-12-22T03:45:43ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712021-03-01480220821210.5999/aps.2020.008433843Early wound healing of the hard-palate mucosal harvest site using artificial dermis fixation by a transparent plateYushi Suzuki0Ichiro Tanaka1Shigeki Sakai2Tomohiro Yamauchi3Department of Plastic and Reconstructive Surgery, Tokyo Dental College Ichikawa General Hospital, Ichikawa, JapanDepartment of Plastic and Reconstructive Surgery, Tokyo Dental College Ichikawa General Hospital, Ichikawa, JapanDepartment of Plastic and Reconstructive Surgery, Keio University School of Medicine, Shinjuku, JapanDentistry/Oral Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Bunkyo, JapanBackground 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 hemostasis, 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 decreased 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 conventional methods.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.00843reconstructive surgical procedurespalate, hardeyelidsentropion |
| spellingShingle | Yushi Suzuki Ichiro Tanaka Shigeki Sakai Tomohiro Yamauchi Early wound healing of the hard-palate mucosal harvest site using artificial dermis fixation by a transparent plate Archives of Plastic Surgery reconstructive surgical procedures palate, hard eyelids entropion |
| title | Early wound healing of the hard-palate mucosal harvest site using artificial dermis fixation by a transparent plate |
| title_full | Early wound healing of the hard-palate mucosal harvest site using artificial dermis fixation by a transparent plate |
| title_fullStr | Early wound healing of the hard-palate mucosal harvest site using artificial dermis fixation by a transparent plate |
| title_full_unstemmed | Early wound healing of the hard-palate mucosal harvest site using artificial dermis fixation by a transparent plate |
| title_short | Early wound healing of the hard-palate mucosal harvest site using artificial dermis fixation by a transparent plate |
| title_sort | early wound healing of the hard palate mucosal harvest site using artificial dermis fixation by a transparent plate |
| topic | reconstructive surgical procedures palate, hard eyelids entropion |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.00843 |
| work_keys_str_mv | AT yushisuzuki earlywoundhealingofthehardpalatemucosalharvestsiteusingartificialdermisfixationbyatransparentplate AT ichirotanaka earlywoundhealingofthehardpalatemucosalharvestsiteusingartificialdermisfixationbyatransparentplate AT shigekisakai earlywoundhealingofthehardpalatemucosalharvestsiteusingartificialdermisfixationbyatransparentplate AT tomohiroyamauchi earlywoundhealingofthehardpalatemucosalharvestsiteusingartificialdermisfixationbyatransparentplate |