• Chuan-an Shen, Jia-ke Chai, Lin Zhang, Dong-jie Li, Xiao-ye Tuo, Jian-hua Cai, Shu-jun Wang, Hua Zhu, and Jin-dong Cai.
• Department of Burns and Plastic Surgery, General Hospital of PLA, Beijing, China. shenchuanan@yahoo.com
• Zhonghua Yi Xue Za Zhi. 2013 Mar 26; 93 (12): 921-3.

ObjectiveTo study the effects of using auto-scalp for repairing donor site of thickness from cicatricial skin with auto-scalp grafting.MethodsA total of 13 cases with donor site of thickness from cicatricial skin from January 2011 to December 2011 were analyzed. Wounds of donor site from cicatricial skin were grafted with auto-scalp and scalp were fixation was applied with negative pressure. The survival rate of auto-scalp graft was observed at Day 7 post-operation. At Month 12, hyperplastic scars at these donor sites of cicatricial skin were assessed through Vancouver Scar Assessment Table, scar itch assessment and scar proliferation rate. Wounds in the other thirteen cases with donor site of thickness from cicatricial skin from January 2010 to December 2010 were covered with vaseline gauze as control.ResultsNo significant difference existed in the gender and age of the two groups patients (P > 0.05). The auto-scalp graft all survived. And the average healing time of donor-site wound in cicatricial skin in grafting group (7 days) was significantly decreased than that of control group (a mean of 20 days) (P < 0.01). After followed up for twelve months, the scar formation assessment value (1.5 ± 0.5), scar itch assessment (1.2 ± 0.4) and scar proliferation rate (14.6% ± 7.6%) in grafting group were significantly less than those of control group (6.7 ± 1.1, 2.0 ± 0.7, 55.8% ± 12.2%, all P < 0.01).ConclusionAuto-scalp grafting may greatly shorten the healing procedure and ameliorate the quality of donor-site of thickness from cicatricial skin.

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