The donor area was grafted with
split thickness graft from the left side thigh.
Split thickness graft was placed over the ulcer and negative pressure therapy was utilized.
Among these pinch graft, free full thickness graft, mesh graft,
split thickness graft, strip graft, pedicle graft, skin flap etc have been tried in clinical and experimental animals (Vishwasrao and Mantri, 1990; Anjaiah et al., 2001; Wani and Kulkarni, 1995; Segfried et al., 2005; Makady 1991; Frankland 1979; Slatter, 2003).
A 8 year old male patient(fig.1a) who had undergone surgical reconstruction of Ear lobe for Microtia on the right side with Autologous costal cartilage and split thickness graft has been referred to the Department of Prosthodontics, TNGDC&H, Chennai for fabrication of Auricular stent.
On examination the donor site of split thickness graft showed inflammation (fig.1b)Hence to reduce the inflammation and facilitate healing a Non steroidal Anti inflammatory agent--ketoprofen at a concentration of 5% is decided to be incorporated into the stent based on the study
He in his patients used full thickness plantar grafts with good results but had to use second
split thickness graft to cover the donor site.
In these cases, a
split thickness graft can be taken from the thigh or buttocks and used to cover such a wound.
The patient was treated with VAC system and then a
split thickness graft was applied.
(3) Khan et al., (4) used a modification of this technique, where they used ultrathin
split thickness grafts (<0.08-0.15mm).