Full thickness skin grafts from the groin: donor site morbidity and graft survival rate from 50 cases.
OBJECTIVE
Full thickness skin grafts (FTSG) offer several advantages; they are esthetically superb, have less postoperative shrinkage, and offer minimal postoperative pain and scar formation at the donor site. As a donor site of FTSG, the groin offers a relatively large area of skin with high elasticity. The aim of this study was to evaluate FTSG from the groin for reconstruction in oral and maxillofacial surgery.


METHODS
In a retrospective study, 50 patients (27 males, 23 females) who received FTSG from the groin were evaluated for their operation records, clinical photography, and medical records.


RESULTS
The width of skin from the groin was distributed from 2-8 cm (mean: 5.1 cm) at the donor site, while the long axis length was distributed from 3-13 cm (mean: 7.4 cm). A high number of patients, 47 patients (94%) out of 50, showed good healing at the donor site. Wound impairment was seen in 3 patients (6%), minor wound dehiscence in 2 patients, and severe wound dehiscence in 1 patient. In the recipient site, delayed healing was observed in 2 patients (4%).


CONCLUSIONS
FTSG from the groin to repair soft tissue defects in reconstruction surgery is a good method due to the relatively big size of the graft, decreasing morbidity at the donor site, and higher graft survival rates.
Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea.
Somi
S
Kim
Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea.
Seung-Won
SW
Chung
Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea. ; Department of Oral Cancer Research Institute, College of Dentistry, Yonsei University, Seoul, Korea.
In-Ho
IH
Cha
Forearm; Free tissue flaps; Groin; Mouth mucosa; Skin transplantation