Using Modified Skin-Stretching Technique as an Alternative Solution for the Closure of Moderate and Extensive Skin Defects.

Abstract

External skin-stretching devices have been developed and used for wound closure since 1970s. Devices such as Miami-Star, Sure-closure, Top-closure, and Wise-Band have their own advantages and disadvantages. Our modified external skin-stretching technique in this series study has the advantage of more even tension distribution and simplified application. Between January 2014 and June 2017, 20 patients utilized modified skin-stretching devices for the closure of the skin defects in the trunks (n=6) and extremities (n=14). Skin defects ranged from 8 x 5 cm to 19 x 16 cm achieved primary closure with the utilization of the modified skin-stretching device without major complications. Subsequent minor revisions were performed under local anesthesia between 6 and 12 months postoperatively. The modified skin-stretching device in our series utilized biomechanical properties and mechanical creep of skin tissue to achieve a reliable and effective primary closure for moderate to extensive skin defects. Thus providing an alternative option besides skin grafting and vascularized tissue transfer in the appropriate setting.