𝔖 Bobbio Scriptorium
✦   LIBER   ✦

“Tongue sandwich” bolster for skin graft immobilization

✍ Scribed by Charles E. Butler

Publisher
John Wiley and Sons
Year
2002
Tongue
English
Weight
295 KB
Volume
24
Category
Article
ISSN
1043-3074

No coin nor oath required. For personal study only.

✦ Synopsis

Background:

Because of surface irregularities and continuous movement of the tongue, predictable immobilization of split-thickness skin grafts (stsgs) for tongue defects is difficult to achieve.

Methods:

A novel composite, bilayer foam bolster was used to immobilize a stsg after reconstruction of more than 80% of the tongue mucosa after resection of a squamous cell carcinoma and extensive leukoplakia. dorsal and ventral bolster components were placed over the stsg and affixed using transglossal, through-and-through sutures.

Results:

The composite foam bolster provided uniform compression along the highly irregular and mobile skin-grafted surface. graft survival was excellent, and there were no complications.

Conclusions:

The "tongue sandwich" bolster is quickly and easily fabricated, immobilizes the tongue in a fully expanded position, and provides excellent apposition of stsgs to highly irregular and vascular surfaces.

📜 SIMILAR VOLUMES

Extra-oral knotting of tie-over sutures:
Extra-oral knotting of tie-over sutures: A novel technique to bolster the split thickness skin graft for a buccal mucosal defect
✍ Pankaj Chaturvedi; Prathamesh S. Pai; Anil K. Decruz; Kumar A. Pathak; Devendra 📂 Article 📅 2003 🏛 John Wiley and Sons 🌐 English ⚖ 75 KB

The skin graft is pricked at multiple places to prevent underlying hematoma. \* The graft is spread over the mucosal defect. \* Suitable size bolster is prepared and a single layer of paraffin gauze is wrapped over it. \* The bolus is secured with two tie-over nylon suture in such a way that knots l

Effect of keratin-gelatin and bFGF-gelat
Effect of keratin-gelatin and bFGF-gelatin composite film as a sandwich layer for full-thickness skin mesh graft in experimental dogs
✍ S. Thilagar; N. Arul Jothi; A. R. Sheikh Omar; M. Y. Kamaruddin; Shanthi Ganabad 📂 Article 📅 2009 🏛 John Wiley and Sons 🌐 English ⚖ 187 KB

## Abstract Skin grafts are indicated when there is a major loss of skin. Full‐thickness skin graft is an ideal choice to reconstruct defect of irregular surface that is difficult to immobilize. Full‐thickness mesh grafts can be applied to patch large skin defect when there is less donor site in ex

Surgery of modern warfare. Edited by Ham
Surgery of modern warfare. Edited by Hamilton Bailey, F.R.C.S., Surgeon, Royal Northern Hospital, London; etc. Sub-Editor for Medicine: C. Allan Birch, M.D., M.R.C.P., D.C.H., D.P.M., M.M.S.A., Senior Physician, North Middlesex County Hospital. Third edition. In six parts. 8 3/4 × 5 7/8 in. Part I: Section I, General Considerations; Section II, Concerning the General Condition of the Casualty and His Resuscitation. Pp. 152, with 165 illustrations, many in colour. Part II: Section III, Frost-bite, Burns, and Skin-grafting Section IV, Anæsthetizing the Wounded; Sections V–VII, Wounds. Pp. 153–328, with 146 illustrations. Part III: Section VIII, Wounds of Blood-vessels Section IX, Methods of Immobilizing the Limbs; Section X, Amputations. Pp. 329—506, with 312 illustrations. 1944. Edinburgh: E. & S. Livingstone. 15s. each net
📂 Article 📅 1944 🏛 John Wiley and Sons 🌐 English ⚖ 140 KB 👁 3 views