title: Retroauricular full-thickness skin grafts in syndactyly repair: outcome and comparison with inguinal full-thickness skin grafts: retrospective (cross-sectional) study.
abstract: OBJECTIVE
  Most surgeons recommend the use of full-thickness skin grafts for syndactyly repair. Common donor sites include the groin and elbow, but only one publication has previously mentioned retroauricular skin. No publication has compared the results for full-thickness skin grafts between retroauricular and other donor sites. This study aims at comparing functional and aesthetic outcomes and parents' satisfaction with retroauricular vs inguinal full-thickness skin grafts.
  
  
  METHODS
  Eleven children with retroauricular and 15 with inguinal full-thickness skin grafts were included in this retrospective study. Examination included the Patient and Observer Scar Assessment Scale, parent satisfaction, and a colour match measurement.
  
  
  RESULTS
  Both pigmentation match and parents' overall impression of the donor site were significantly better for retroauricular than for inguinal full-thickness skin grafts.
  
  
  CONCLUSIONS
  Due to the excellent pigmentation match and the inconspicuousness of the donor site, this study recommends the use of retroauricular full-thickness skin grafts for syndactyly repair.
authors.affiliation: a Division of Hand Surgery, Department of Paediatric Surgery , University Children's Hospital Zurich , Zurich , Switzerland ;
authors.forename: Patrizia S
authors.initials: PS
authors.lastname: Sulser
authors.affiliation: b Seminar for Statistics , ETH Zurich , Zurich , Switzerland.
authors.forename: Markus
authors.initials: M
authors.lastname: Kalisch
authors.affiliation: a Division of Hand Surgery, Department of Paediatric Surgery , University Children's Hospital Zurich , Zurich , Switzerland ;
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Weber
mesh_terms: D002675:Child, Preschool; D003430:Cross-Sectional Studies; D004431:Ear, External; D004954:Esthetics; D006119:Groin; D006801:Humans; D007223:Infant; D010290:Parents; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012880:Skin Pigmentation; D016038:Skin Transplantation / Q000379:methods*; D013576:Syndactyly / Q000601:surgery*
keywords: Syndactyly; child; hand; outcome; skin transplantation; surgery