Individually moulded silicone dressing in full thickness skin grafts

Abstract Background Full thickness skin grafting is a common technique for reconstructing defects in the head and neck area. We propose the use of an addition-cured silicone as an individually moulded silicone dressing to keep the vulnerable skin graft in place, prevent shearing forces and create a...

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Main Authors: Michael Götting, Rahel Zibell, Markus Jungehülsing
Format: Article
Language:English
Published: SAGE Publishing 2022-09-01
Series:Journal of Otolaryngology - Head and Neck Surgery
Subjects:
Online Access:https://doi.org/10.1186/s40463-022-00577-7
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author Michael Götting
Rahel Zibell
Markus Jungehülsing
author_facet Michael Götting
Rahel Zibell
Markus Jungehülsing
author_sort Michael Götting
collection DOAJ
description Abstract Background Full thickness skin grafting is a common technique for reconstructing defects in the head and neck area. We propose the use of an addition-cured silicone as an individually moulded silicone dressing to keep the vulnerable skin graft in place, prevent shearing forces and create a moist environment. Method The silicone dressing is applied directly on the graft, using a double cartridge system. The silicone is moulded to the skin graft and hardens quickly, integrating thread knots into its material and creating good adherence to the graft. Charts of 24 patients who had undergone reconstruction with full thickness skin graft from the neck after surgery for skin tumors in the head from November 2017 to October 2020, were reviewed retrospectively to quantify the degree of post-operative graft loss and durability of the dressing. Conclusion Medical silicone based on venylpolysiloxane is a safe and durable dressing which makes postoperative dressing changes expendable. Trial registration The study was approved by the institutional review board of the Brandenburg state medical association (S 4(bB)/2021). Graphical Abstract
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institution Kabale University
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series Journal of Otolaryngology - Head and Neck Surgery
spelling doaj-art-00266e61b93e47b9971e2109756485862025-02-02T23:08:47ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162022-09-015111610.1186/s40463-022-00577-7Individually moulded silicone dressing in full thickness skin graftsMichael Götting0Rahel Zibell1Markus Jungehülsing2Department of Otolaryngology-Head and Neck Surgery, Abteilung für HNO, Kopf- und Halschirurgie, Klinikum Ernst von BergmannDepartment of Otolaryngology-Head and Neck Surgery, Abteilung für HNO, Kopf- und Halschirurgie, Klinikum Ernst von BergmannDepartment of Otolaryngology-Head and Neck Surgery, Abteilung für HNO, Kopf- und Halschirurgie, Klinikum Ernst von BergmannAbstract Background Full thickness skin grafting is a common technique for reconstructing defects in the head and neck area. We propose the use of an addition-cured silicone as an individually moulded silicone dressing to keep the vulnerable skin graft in place, prevent shearing forces and create a moist environment. Method The silicone dressing is applied directly on the graft, using a double cartridge system. The silicone is moulded to the skin graft and hardens quickly, integrating thread knots into its material and creating good adherence to the graft. Charts of 24 patients who had undergone reconstruction with full thickness skin graft from the neck after surgery for skin tumors in the head from November 2017 to October 2020, were reviewed retrospectively to quantify the degree of post-operative graft loss and durability of the dressing. Conclusion Medical silicone based on venylpolysiloxane is a safe and durable dressing which makes postoperative dressing changes expendable. Trial registration The study was approved by the institutional review board of the Brandenburg state medical association (S 4(bB)/2021). Graphical Abstracthttps://doi.org/10.1186/s40463-022-00577-7Full thickness skin graftSilicone dressingVenylpolysiloxane
spellingShingle Michael Götting
Rahel Zibell
Markus Jungehülsing
Individually moulded silicone dressing in full thickness skin grafts
Journal of Otolaryngology - Head and Neck Surgery
Full thickness skin graft
Silicone dressing
Venylpolysiloxane
title Individually moulded silicone dressing in full thickness skin grafts
title_full Individually moulded silicone dressing in full thickness skin grafts
title_fullStr Individually moulded silicone dressing in full thickness skin grafts
title_full_unstemmed Individually moulded silicone dressing in full thickness skin grafts
title_short Individually moulded silicone dressing in full thickness skin grafts
title_sort individually moulded silicone dressing in full thickness skin grafts
topic Full thickness skin graft
Silicone dressing
Venylpolysiloxane
url https://doi.org/10.1186/s40463-022-00577-7
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AT rahelzibell individuallymouldedsiliconedressinginfullthicknessskingrafts
AT markusjungehulsing individuallymouldedsiliconedressinginfullthicknessskingrafts