SUCTION BLISTER GRAFTING- STILL A USEFUL MODALITY FOR TREATMENT OF RESISTANT AND STABLE VITILIGO
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 80
Abstract
BACKGROUND Vitiligo is a common depigmentation disorder due to absence of functional melanocytes in the affected area. Depending on the type, extent and duration of vitiligo, conventional medical therapies and phototherapy are used. Medical treatment is effective in only 60% - 70% of the patients. This has led to the evolution of various surgical modalities to treat recalcitrant stable lesions. The aim of this study was to determine the efficacy of suction blister grafts for treatment of recalcitrant and stable vitiligo. MATERIALS AND METHODS This study was conducted on 20 patients with stable vitiligo. They included lip vitiligo (6 cases), segmental vitiligo (6 cases) and focal vitiligo (8) that were resistant to conventional medical treatments. Manual suction with 20 cc disposable syringes for blisters at donor site and dermabrasion at recipient site was done. The blister was separated, fixed at recipient site and dressing was done followed by NBUVB thrice a week for 3 months. Repigmentation of lesions was evaluated monthly for 6 months after treatment. Repigmentation rates > 90%, 71% - 90%, 51% - 70% and < 50% were graded as complete, good, moderate and poor respectively. RESULTS This study includes 20 patients (10 female and 10 male) with stable vitiligo were evaluated for response following suction blister grafting with thrice weekly post-graft phototherapy. Reponses to treatment after a 6-month followup were ‘complete,’ ‘good’ and ‘moderate’ in 12 (60%), 6 (30%) and 2 (10%) patients respectively and one patient was lost for followup. CONCLUSION The grafting procedures in vitiligo are performed for cosmetic purposes. Proper selection of the patient is the most important factor for achieving a good cosmetic result. Stability of the disease process is the most important parameter to achieve a successful outcome. Suction blister grafting gives excellent cosmetic results with minimal chances of scarring at the donor or recipient sites.
Authors and Affiliations
Srinivasa Ravi S, Syama Sundari Chittoory
Keywords
Related Articles
- EP ID EP268168
- DOI 10.14260/jemds/2017/1229
- Views 94
- Downloads 0
A RARE CASE REPORT OF MULTIPLE EVANESCENT WHITE DOT SYNDROME PRESENTING AFTER PHYSICAL EXERTION
MEWDS is an inflammatory chorioretinopathy that affects mainly young, healthy women in the second to fourth decades of life. A flu-like illness is present in about one half of the patients. • OCULAR MANIFESTA...
VILLOGLANDULAR PAPILLARY ADENOCARCINOMA OF THE UTERINE CERVIX- A RARE CASE REPORT
PRESENTATION OF CASE A 41-year-old lady came with the complaint of post-coital bleeding since five months. She had had two full term spontaneous vaginal deliveries and both children were alive and healthy. Her general p...
STUDY ON EXERCISE TOLERANCE AND POST EXERCISE DIASTOLIC FILLING PATTERN IN PATIENTS WITH RESTING GRADE 1 DIASTOLIC DYSFUNCTION
BACKGROUND Diastolic dysfunction is one of the commonly seen abnormalities in heart disease patients. It is most commonly associated with diabetes, hypertension, left ventricular hypertrophy, increasing age, coronary art...
STUDY OF DIASTOLIC DYSFUNCTION IN YOUNG (< 40 YEARS) NEWLY DETECTED DIABETES AND ITS CORRELATION WITH OBESITY, GLYCAEMIC LEVELS AND DYSLIPIDAEMIA
BACKGROUND Left Ventricular Diastolic Dysfunction (LVDD) represents the first stage of diabetic cardiomyopathy preceding changes in systolic function, reinforcing the importance of early examination of ventricular functi...
BRANCH RETINAL VEIN OCCLUSION: DO WE REALLY NEED TO TREAT IN HASTE
BACKGROUND It is important to know the natural history of branch retinal vein occlusion in order to understand that any benefit attributed to intervention of any kind is due to the effect of the treatment alone...