Evaluation of minced skin grafts in the treatment of post burn leukoderma.

Abstract

Background: Post burn leukoderma had been characterized by chalk white depigmented areas of variable sizes and shapes. Re-pigmentation of the hypopigmented lesion is still a big challenge, current treatment modalities for post burn leukoderma include non-surgical techniques and many surgical interventions. Objective: To evaluate the efficacy of minced skin graft in the treatment of post burn leukoderma. Material and Methods: Twenty Patients (18 female & 2 males) with post burn leukoderma were included. Patients' age ranging from 10 to 50 years. The minimum leukoderma surface area was 0.5% whereas the maximum was 3%. Patients were assessmed one year post operatively using Vancouver Scar Scale and Patient Observer Scar Assessment Scale (POSAS). Results: Vancouver scar scale results were; Good pigmentation were obtained in 75%, Hyperpigmentation in 20% and Partial pigmentation was in 5%. For POSAS The overall patient opinion scale was 1 (which denote best skin colour) in 80%, score 2 in 10%, score 3 in 5%, score 4 in 5% of patients. Conclusion: Minced skin graft can be used safely for the treatment of post burn leukoderma. It is a simple reliable technique that can be easily integrated in our daily practice, no need for special instruments or laboratory preparations, gives a satisfactory result for patients with minimal donor morbidity.