Response to: A simple method to facilitate full-thickness skin graft harvest (Burns 35 (1) (2009) 87-88)

摘要

I read with interest the comments of Dr. Ogawa and Dr. Chin on my article about full thickness skin graft harvest. I agree with them regarding the risk of epidermal inclusion cyst, but this is surprisingly rare [1,2] not only with this described method of skin harvesting, but also with all other types of surgical procedures involving the skin [3]. The authors also mentioned that some dermal tissues were left behind in the graft bed, but I think this is merely parts of the superficial fascia. Anyhow, a histological study may be necessary to verify whether this is dermis or fascia, and also whether the harvested skin is a full thickness or split thickness as the authors suggest. However, as full thickness skin is by definition lie just above the fat, I think our method actually take a full thickness skin since we are separating it from the fat of the subcutaneous tissue which is visible clearly behind in the graft bed as in Fig. Id [4], hence the title is appropriate.