title: Ultrathin split-thickness skin grafting followed by narrowband UVB therapy for stable vitiligo: an effective and cosmetically satisfying treatment option.
abstract: BACKGROUND
  Different surgical techniques in the form of tissue or cellular grafting procedures are used alone or in combination with narrowband UVB (NBUVB) to treat stable vitiligo resistant to medical treatment.
  
  
  OBJECTIVE
  To evaluate the cosmetic results obtained with ultrathin split-thickness skin grafts followed by NBUVB therapy in resistant, stable vitiligo.
  
  
  METHODS
  Forty patients of stable vitiligo were treated with ultrathin split-thickness grafting and the patients were then put on NBUVB therapy. The results obtained were analyzed by the extent of repigmentation achieved as well as the final cosmetic outcome at the recipient as well as donor sites.
  
  
  RESULTS
  The first evidence of repigmentation was seen in the second week after starting NBUVB. On objective assessment, more than 90% repigmentation was seen in 83% of patients and the overall cosmetic results at the recipient site were graded as good to excellent in 90% patients at the end of NBUVB treatment. Perigraft halo of depigmentation was seen in six patients (15%) on the recipient site. Hypertrophic scarring was observed in two patients at the donor site.
  
  
  CONCLUSIONS
  Ultrathin split-thickness skin grafting, when combined with NBUVB therapy, leads to better cosmetic outcome with faster onset of repigmentation in resistant stable vitiligo.
authors.affiliation: Department of Dermatology, Government Medical College, Srinagar, Kashmir, India. drimranmajid@gmail.com
authors.forename: Imran
authors.initials: I
authors.lastname: Majid
authors.forename: Saher
authors.initials: S
authors.lastname: Imran
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000517:prevention & control; D012880:Skin Pigmentation; D016038:Skin Transplantation / Q000379:methods*; D013518:Surgery, Plastic / Q000379:methods*; D014467:Ultraviolet Therapy / Q000379:methods*; D014820:Vitiligo / Q000601:surgery* / Q000628:therapy*