title: Correction of hyperpigmented palmar grafts with full-thickness skin grafts from the lateral aspect of the foot.
abstract: The palmar surface of the hand possesses special features when compared with the hair-bearing parts of the body. The same quality of skin has to be used in reconstruction of the palmar skin defects to restore normal function. The lateral aspect of the foot has similar features with the palmar region histologically and can be used for palmar reconstruction. Seventeen patients who had hyperpigmentation after skin graft in the palmar region were treated. Scar contracture was combined in seven patients. The hyperpigmented grafts were excised and then the defects were full-thickness skin grafted from the lateral aspect of the foot. The mean follow-up period was 13.7 (4-22) months. Engraftment was successful in 16 patients, but one failed due to haematoma. The colour of the graft was initially reddish, and then became similar to the palmar area. The donor site healed without any problem within 3 weeks. At follow-up these grafts had good colour and texture match with adjacent palmar skin. There was no hyperpigmentation. Minimal marginal scarring and scar hypertrophy occurred in four patients (24%). The skin of the lateral aspect of the foot is a good choice for palmar skin defects, because of the similarities in their characteristics. Results are acceptable in terms of minimal recurrence of scar contracture, no hyperpigmentation, adequate colour and texture match, and minimal marginal scarring and scar hypertrophy.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Diskapi Yildirim Beyazit Training and Research Hospital , Ankara , Turkey.
authors.forename: Tolga
authors.initials: T
authors.lastname: Eryilmaz
authors.forename: Ali Teoman
authors.initials: AT
authors.lastname: Tellioglu
authors.forename: Hulda Rifat
authors.initials: HR
authors.lastname: Ozakpinar
authors.forename: Huseyin Fatih
authors.initials: HF
authors.lastname: Oktem
authors.forename: Tulin
authors.initials: T
authors.lastname: Sen
authors.forename: Aynur
authors.initials: A
authors.lastname: Albayrak
authors.forename: Murat
authors.initials: M
authors.lastname: Alper
mesh_terms: D000293:Adolescent; D000328:Adult; D002102:Cadaver; D002648:Child; D002921:Cicatrix / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D005528:Foot / Q000601:surgery; D006085:Graft Survival; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D017495:Hyperpigmentation / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods; D012086:Reoperation; D018570:Risk Assessment; D012494:Sampling Studies; D012867:Skin / Q000293:injuries* / Q000473:pathology; D016038:Skin Transplantation / Q000009:adverse effects* / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome; D055815:Young Adult