Modified bolster dressing with continuous suction improves skin graft survival for an oral cavity wound.

ABSTRACT:

Background

Skin engraftment of intraoral defects is known to be inconsistent due to mobility of the oral structure, uneven wounds, and accumulation of saliva under the skin graft. To improve the success rate of oral skin graft, we proposed a novel and simple dressing technique for intraoral skin graft to control saliva accumulation, in comparison with the conventional bolster dressing.

Methods

We retrospectively reviewed 31 patients reconstructed with skin graft in their intraoral defect. The patients were divided into two groups; conventional bolster group (n = 21) and modified bolster group (n = 10). In the modified bolster group, a polyvinyl alcohol sponge was designed to fit the skin graft and a suction drain was inserted with tagging suture to apply continuous suction.

SUBMITTER: Lee E 

PROVIDER: S-EPMC6234621 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature