J Korean Surgery Hand Soc Search


Arch Hand Microsurg > Volume 19(3); 2014 > Article
Journal of the Korean Society for Surgery of the Hand 2014;19(3):109-115.
Published online September 30, 2014.
DOI: https://doi.org/10.12790/jkssh.2014.19.3.109   
The Usefulness of Retroauricular Full Thickness Skin Graft in Hand Reconstruction
Hong Il Kim, Sang Hwan Lee, So Min Hwang, Yong Hui Jung, Hyung Do Kim
Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital, Busan, Korea. Sangwind@hanmail.net
Received: 24 May 2014   • Revised: 22 July 2014   • Accepted: 5 August 2014
We used the retroauricular area skin as an alternative full-thickness skin donor site in the hand reconstruction surgery.

From January 2006 to March 2013, 55 patients observed more than 1 year, were recruited for the study. In case of requiring the skin graft on hand, we grafted skins were harvested from the retroauricular area on hand. To assess the subjective and objective satisfaction, the patients themselves and three doctors compared the skin graft area's color with adjacent skin and estimated the donor site scar on a five-point scale.

A partial necrosis was seen in one case who received skin graft because of a burn scar contracture, but it was cured with conservative treatment. In other cases, the skin graft was well taken without any specific problems. The retroauricular skin graft showed good color match with adjacent skin and less pigmentation. Donor site scar was not noticeable. As a result, the patient's subjective satisfaction (4.07) and doctor's objective satisfaction (4.18) about skin graft were very good. And the patient's subjective satisfaction (4.93) and doctor's objective satisfaction (4.98) about donor site scar were also very good.

We obtained the favorable result and the patients satisfaction by using the retroauricular area as a full thickness skin graft donor site in hand.

Article and topics
Article category

Browse all articles >


Browse all articles >

Browse articles
Editorial policies
For contributors
Editorial Office
St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, 93 Ji-dong, Paldal-gu, Suwon 16247, Korea
Tel: +82-31-249-7186    Fax: +82-31-254-7186    E-mail: journal@handmicro.org                

Copyright © 2021 by Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve.

Developed in M2PI

Close layer
prev next