Pinch Grafting Versus Second Intention Wound Healing for Mohs Micrographic Surgery Defects on the Scalp
University of California, Davis
Summary
Oftentimes, following surgery on the scalp, wounds are left to heal by themselves. This is called "second intention." Open wounds left to heal on the scalp often take 8 weeks or more to completely heal. The investigators are investigating how second intention closure compares to another established reconstruction technique, called "pinch graft." In the pinch graft technique, a dermatological surgeon numbs and then shaves off a thin piece of skin (usually from the groin area) and places it in the wound bed it (also known as "grafting"), to encourage growth of new healthy skin. This study will compare time-to-healing in the second intention method versus the pinch graft method.
Description
Pinch graft methodology was first developed in 1976 as a treatment to accelerate healing of lower leg ulcerations, particularly venous or gravitational ulcerations (1, 2). It was later adapted as a tool to hasten healing in surgical wounds, such as surgical closure of diabetic foot wounds (3). It has also been used in the healing of patients with wounds related to dystrophic epidermolysis bullosa (4). More recently, pinch grafts have been investigated as a reconstruction option for Mohs micrographic surgery defects (5). In this study, patients with below the knee Mohs surgical defects were ran…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * 18 years of age or older * Able to give informed consent themselves * Patient scheduled for cutaneous surgical procedure on the scalp with predicted second intention closure * Willing to return for follow up visit * Active user of MyChart * Willing to send weekly messages until wound is healed Exclusion Criteria: * Incarceration * Under 18 years of age * Pregnant women * Unable to understand written and oral English * Scalp wounds with planned primary repair reconstruction * Surgical defects with bone exposure * No MyChart access or use
Interventions
- ProcedurePinch Graft
In the pinch graft technique, the investigators will numb and then shave off a thin piece of skin and place it in the wound bed.
Location
- University of California, Davis - Dermatology DepartmentSacramento, California