Muhammad İzzuddin HAMZAN, Normala BASİRON

Başparmağın verrükoz hemanjiom eksizyonu sonrası kutanöz greft olarak Sünnet derisinin kullanılması

Sünnet derisinin deri grefti olarak kullanımı yeni olmamasına rağmen, tüm dünyada cerrah tarafından nadiren kullanılmış ve bildirilmiştir. Sünnet derisi grefti belirli bir alandaki bir kusurun üstesinden gelmek için tam kalınlıkta bir deri grefti olarak kullanıldığında birçok avantaja sahiptir. Burada, nadir görülen bir vasküler anomali olgusu bildirildi; Verrükoz hemanjiom, cerrahi eksizyon gerekli görüldü, ancak deri defekti direkt olarak kapanmak için yeterli olmayacaktı, bu nedenle sünnet derisinin kutanöz defektini kaplamak için tam kalınlıkta bir deri grefti olarak alındı. İşlem, ritüel sünnetiyle tek bir aşamada alındı. Greft alımı elverişli ve tatmin edici bir estetik özellik ile iyi bir fonksiyonel onarım sağladı. Benzer vakalar daha önce literatürde veya en azından yazarın ülkesinin orijininde bildirilmemiştir.

Anahtar Kelimeler:

Preputial, Sünnet derisi, Deri grefti, Verrükoz hemanjiom, Sünnet

Use of preputial skin as cutaneous graft in post excision of a verrucous hemangioma of the thumb

Although the use of preputial skin as cutaneous graft is not new, it was seldom been utilized and reported by surgeon all over the world. The preputial skin graft (PSG) has many advantages when use as a full thickness skin graft to cover a defect over certain importance area. Herein, we reported a case of a rare vascular anomaly of thumb; Verrucous Hemangioma when a surgical excision was indicated, but the skin defect would have been too large to be directly closed, therefore the foreskin was taken as a full-thickness skin graft to cover the cutaneous defect of the thumb. The procedure was taken in a single stage with the ritual circumcision. The graft intake was favourable and provided a good functional repair with satisfactory aesthetic characteristic. Similar cases have not been reported before in the literature or at least in author’s origin of country.

Keywords:

Preputial, Foreskin, Skin graft, Verrucous Hemangioma, Circumcision,

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