Full-Thickness Skin Grafting Of Oral Defects: Enhancing Graft Stability With Intramural Quilting Sutures

Authors

  • Leonor Caixeiro Department of Plastic and Reconstructive Surgery, Craniomaxillofacial, Hand and Microsurgery Unit-Centro Hospitalar Vila Nova de Gaia/Espinho, Porto, Portugal http://orcid.org/0009-0001-3305-3307
  • Larissa Lanzaro Department of Plastic and Reconstructive Surgery, Craniomaxillofacial, Hand and Microsurgery Unit-Centro Hospitalar Vila Nova de Gaia/Espinho, Porto, Portugal
  • Marta Azevedo Department of Plastic and Reconstructive Surgery, Craniomaxillofacial, Hand and Microsurgery Unit-Centro Hospitalar Vila Nova de Gaia/Espinho, Porto, Portugal
  • Carolina Gaspar Department of Plastic and Reconstructive Surgery, Craniomaxillofacial, Hand and Microsurgery Unit-Centro Hospitalar Vila Nova de Gaia/Espinho, Porto, Portugal
  • Horácio Zenha Department of Plastic and Reconstructive Surgery, Craniomaxillofacial, Hand and Microsurgery Unit-Centro Hospitalar Vila Nova de Gaia/Espinho, Porto, Portugal
  • Horácio Costa Department of Plastic and Reconstructive Surgery, Craniomaxillofacial, Hand and Microsurgery Unit-Centro Hospitalar Vila Nova de Gaia/Espinho, Porto, Portugal http://orcid.org/0000-0001-5027-8850

DOI:

https://doi.org/10.34635/rpc.1035

Keywords:

full-thickness skin graft, oral mucosal reconstruction, intramural quilting suture

Abstract

Introduction: Full-thickness skin grafts (FTSGs) are vital in reconstructive surgery, especially for challenging oral cavity defects. Secure fixation is essential to prevent displacement and ensure integration with the recipient site. Traditional methods often fail in the oral environment due to moisture, movement, and bacteria. This study introduces a novel modification using intramural quilting sutures to enhance FTSG stability in oral mucosal reconstruction.
Technique: After preparing the graft by trimming underlying structures, simple interrupted sutures secure it. The key innovation is transmural quilting sutures that anchor the graft from inside the oral cavity, creating an inside-outside loop configuration. A gauze interface prevents pressure necrosis.
Conclusion: Intramural quilting sutures improve the stability and success of FTSGs in oral mucosal defects, leading to better outcomes and faster recovery.

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References

1 Steele L, Brown A, Xie F. Full-thickness Skin Graft Fixation Techniques: A Review of the Literature. J Cutan Aesthet Surg. 2020 Jul-Sep;13(3):191-196. doi: 10.4103/JCAS.JCAS_184_19. PMID: 33208994; PMCID: PMC7646424.
2 McGregor, I. A. (1975). “Quilted” skin grafting in the mouth. British Journal of Plastic
Surgery, 28(2), 100–102. https://doi.org/10.1016/s0007-1226(75)90166-6
3 McGregor, I. A., & McGregor, F. M. (1986). Cancer of the face and mouth: Pathology and Management for Surgeons.

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Published

2024-07-29

Issue

No. 57 (2024): July

Section

Surgery technique

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