Punch Skin Graft in Stable Vitiligo: Donor and Recipient Site Changes - A Retrospective Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 5
Abstract
Introduction: Punch skin graft procedure in the treatment of stable vitiligo is a simple and best office procedure. Aim of the Study: The aim of the study was to evaluate the donor and recipient site changes occurred during the treatment of vitiligo with punch skin graft. Materials and Methods: A total of 25 cases of vitiligo treated with punch skin graft with data and photographs were collected and analyzed retrospectively in the Department of Dermatology, Government Theni Medical College, Theni. Results: Out of 25 cases of stable vitiligo, 9 were male and 16 were female. Donor site changes were noted as hypertrophic scarring, depigmentation, and hyperpigmentation. Out of 222 grafts placed, the graft uptake percentage was 77.8%. The mean pigment spread was 4.8 mm in non-glabrous area. Cosmetic improvement was 100% in mucosal vitiligo. Depigmentary joining line, peri-individual graft halo (target-like pigmentation), cobblestoning, graft rejection, crowding of grafts, and reactivation of vitiligo as recipient site changes were noted. Repigmentation of leukotrichia was noted. Overall cosmetic improvement was 70%. Conclusion: If the selection of the stable vitiligo cases and the expertise of the operating surgeon are good, the donor and recipient site changes may be reduced to a greater extent to yield a better cosmetic result.
Authors and Affiliations
Muthukumaran Rajaram, Uma Selvaraj, Sudha Alagarsamy
Keywords
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