Split thickness skin graft for the management of traumatic soft tissue avulsion: a case report
Main Article Content
Abstract
Complex facial injuries with gross soft tissue avulsion and bone exposure are very divesting to the patient. Partial degloving injuries are quite commonly described, whereas the hemifacial degloving with temporal and frontal bone exposure is rare. The use of split thickness skin graft is the most common performed procedure to close the defects which are unable to close primarily.In severe trauma cases, the face is the most commonly involved either isolated or in a combination with other injuries. Face consists of functional and esthetic units which makes it mandatory to know the “do’s and don’ts” to manage it appropriately. The author presented the case of post-traumatic degloving of the frontal, temporal and mandibular region which was managed with delayed
split-thickness skin graft.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The opinions and content expressed in the articles are solely those of the individual authors and do not necessarily reflect the views of the journal or the authors’ affiliated institutions. Authors are fully responsible for the accuracy and correctness of their work.
Any reuse, reproduction, or redistribution of the articles, content, data, or images in other forms requires prior written permission from the Thai Journal of Oral and Maxillofacial Surgery
References
Kretlow JD, Mcknight AJ, Izaddoost SA. Facial soft tissue trauma. Semin Plast Surg 2010;24:348-56.
Ghosh A. Primary one stage reconstruction in complex facial avulsion injury. World J Plast Surg 2017;6:383-6.
Joshi U, Patil SK. Maxillofacial trauma with scalp avulsion: a case report. Int J Dent Clin 2010:2:58-60.
Ong TK, Dudley M. Craniofacial trauma presenting at an adult accident and emergency department with an emphasis on soft tissue injuries. Injuries 1999;30:357-63.
Pavlidis L, Pramateftakis MG. A simple alternative technique for harvesting split thickness skin grafts. World J Surg Proced 2013;3:4-7.
Cormack GC, Lamberty BGH. The arterial anatomy of skin flaps. London: Churchill Livingstone; 1986.
Shimizu R, Kishi K. Skin graft. Plast Surg Int 2012;2012:563493.
Hsieh CH, Yang CC, Kuo YR, et al. Free anterolateral thigh adipofascial perforato r flap. Plast Reconstr Surg 2003;112: 976-82.9.
Chia SL, Cheng HH, Mao L. Free transplantation of venous network pattern skin flap. Plast Reconstr Surg 1988;82:892-5.
Desprez JD, Kiehn CL, Eckstein W. Closure of large meningomyelocele defects by composite skin-muscle flaps.Plast Reconstr Surg 1971;47:234-8.
Thornton JF, Gosman AA. Skin grafts and skin substitutes and principles of flaps. Selected Reading Plast Surg 2004;10:1-78.
Shoemaker PJ. Split- thickness skin grafting. Can Fam Physician 1982;28:1145-7.
Meaike JD, Agrawal N, Chang D, Lee EI, Nigro MG. Noninvasive facial rejuvenation. Part 3: physician-directed-lasers, chemical peels, and other noninvasive modalities. Semin Plast Surg 2016;30:143-50.