Skin Grafting with “Dog-ears”

Abstract

SUMMARY Wounds too extensive to permit primary repair by suturing can be closed using a skin graft or skin flap and the choice of method depends on a series of factors. Practice and personal experience play a role, as well as the characteristics of the lesion and its site. Each case poses special problems, so it is not possible to establish firm rules. This report presents a surgical technique for the closure of a circular defect located on the dorsum of the forearm, which resulted from the extirpation of a keratoacanthoma by surgery. In this case it was used a mixed procedure consisting of skin flaps and a double full-thickness skin graft. For this operation dog-ears were used, resulting from the circular exeresis performed for the extirpation of the tumor, the reconstructive results were good and there were no postoperative complications. This procedure was considered particularly suitable for certain anatomical sites, such as the dorsum of the forearm, where the skin is less elastic and thinner; and for patients who are not willing to accept skin removal from other sites or for flaps to be made with more invasive operations and more constructed scars. DESCRIPTORS Reconstructive surgical procedures. Skin graft. Keratoacanthoma.