Authors: BURM, JIN SIK¹; RHEE, SEUNG CHUL²; KIM, YANG WOO¹

Source: Dermatologic Surgery, Volume 33, Number 3, March 2007 , pp. 326-332(7)

Publisher: Wiley-Blackwell

Abstract:

BACKGROUND

The effective treatment of postburn dyspigmentation, which is more common in non-Caucasian populations, is a challenge for all surgeons. OBJECTIVE

We tried to evaluate an alternative surgical method of superficial dermabrasion and suction blister epidermal grafting, its efficacy, and its outcome, for the treatment of postburn dyspigmentation disorders in Asians. METHODS

We applied superficial dermabrasion as a deepithelialization process on dyspigmented areas of skin and simultaneous suction blister epidermal grafting to providing pure epidermis. Twenty-three cases were included in our study. RESULTS

All of the epidermal grafts took completely within 4 or 5 days after surgery without hematoma or delayed wound healing in any case. Skin color and surface irregularity improved remarkably in all cases and blended in well with the surrounding skin. Postoperative complications, such as peripheral hypopigmentation, delayed hyperpigmentation, milia, inclusion cysts, achromic fissures, prolonged erythema, and scar deformity, were not observed in any of the cases during the follow-up period. CONCLUSION

Our method of combined modalities had a synergistic effect on the treatment of postburn dyspigmentation. The authors suggest that superficial dermabrasion with simultaneous epidermal grafting should be considered as an alternative method for the treatment of postburn dyspigmentation disorders.

Jin Sik Burm, MD, PhD, Seung Chul Rhee, MD, and Yang Woo Kim, MD, PhD, have indicated no significant interest with commercial supporters.

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1524-4725.2007.33068.x

Affiliations: 1: Department of Plastic and Reconstructive Surgery, Mokdong Hospital, Ewha Womans University, Seoul; 2: Department of Plastic and Reconstructive Surgery, Anam Hospital, Korea University, Seoul, Republic of Korea

Publication date: 2007-03-01

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