Freehand full-thickness grafting for facial defects: a review of methods

T Johnson, M F Zide
Journal of Oral and Maxillofacial Surgery 1997, 55 (10): 1050-6

PURPOSE: This article reviews the use of full-thickness skin grafts for closure of facial defects.

PATIENTS AND METHODS: In almost 3 years, 30 patients had full-thickness skin grafting after removal of premalignant or malignant facial skin lesions. The most common graft harvest sites included the preauricular and postauricular, neck, and supraclavicular areas.

RESULTS: Few complications were seen except for rare surface necrosis and depression of the grafted site, and the esthetic results were generally satisfactory.

CONCLUSION: Full-thickness skin grafts offer a reliable alternative to the use of flaps in selected cases.

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