Recipient site preparation for epidermal graft in stable vitiligo by a
               special fraise

Ebrahimi, Ali; Radmanesh, Mohammad; Kavoussi, Hossein

doi:10.1590/abd1806-4841.20153205

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Investigation • An. bras. dermatol. 90 (1) • Jan-Feb 2015 • https://doi.org/10.1590/abd1806-4841.20153205 copy

Recipient site preparation for epidermal graft in stable vitiligo by a special fraise^* * Work performed at the Hajdaiee dermatology clinic, Kermanshah University of Medical Sciences (KUMS). The study protocol conformed to the guidelines of the 1975 Declaration of Helsinki. Our Institutional Review Board and Ethics Committee approved this study. This study was registered in IRCT ( Irct ID: IRCT138802251906N1).

Authorship SCIMAGO INSTITUTIONS RANKINGS

BACKGROUND:

The only approach used in the refractory lesions of stable vitiligo is the surgical supply of melanocytes. Suction Blistering Epidermal Graft is one of the most common and effective techniques. There are multiple modalities, including the motor-driven diamond fraise, for the preparation of recipient sites in suction blistering epidermal graft with different repigmentation rates and complications.

OBJECTIVES:

To evaluate preparation of recipient site by a motor-driven dental lab finishing carbide bur.

METHODS:

Sixty-one stable, depigmented lesions were selected in 14 patients (9 women and 5men), aged 16-29 years, of which 9, 3 and 2 had localized, generalized and segmental vitiligo, respectively. Recipient site was prepared by a motor-driven dental lab finishing carbide bur.

RESULT:

Excellent repigmentation at the recipient site was observed in 53 out of 61 (86.9%) grafted lesions. Postinflammatory hyperpigmentation and perigraft halo were seen in 11 (18%) and 17 (27.9%) patients at the recipient site, respectively.

CONCLUSION:

Using a motor-driven dental lab finishing carbide bur to prepare the recipient site of suction blistering epidermal graft technique is reliable and effective, removing only the depigmented epidermis in a simple and safe manner, even on complex-shaped lesions and scar-prone sites.

Dermabrasion; Graft survival; Vitiligo

Variables		Frequency	Percentage
Clinical	Localized	9	64.3
type (n=14)	Diffuse	3	21.5
	Segmental	2	14.2
Location of	Hand	17	27.9
treatment (n=61)	Forehead	10	16.4
	Chest	5	8.2
	Eye lids	5	8.2
	Chin	4	6.5
	Abdomen	3	4.9
	Fore foot	3	4.9
	Finger	3	4.9
	Thigh	3	4.9
	Forearm	2	3.3
	Leg	2	3.3
	Lumbosacral region	2	3.3
	Cheek	1	1.6
	Neck	1	1.6
	Good to Moderate	6	9.8
	Poor	2	3.3
	Post-inflammatory hyperpigmentation	11	18
	Infection	0	0

		Excellent	Good-Moderator	poor	Total
Total		53	6	2	61
Location	Forehead	10	0	0	10
	Eyelids	5	0	0	5
	Cheek	1	0	0	1
	Chin	4	0	0	4
	Neck	1	0	0	1
	Chest	2	2	1	1
	Abdomen	2	1	0	3
	Fingers	3	0	0	3
	Hands	17	0	0	17
	Forearms	2	0	0	3
	Lumbosacral region	0	1	1	2
	Forefoot	3	0	0	3
	Legs	1	1	0	1
	Thigh	2	1	0	3

Complication	Frequency (%)
Total	61(100.00)
Only Peri-graft halo	13 (21.31)
Only Post-inflammatory hyper pigmentation	7 (11.48)
Both	4 (6.56)
Neither	37(60.65)

		Peri-graft halo	Post-inflammatory hyperpigmentation
Total		17	11
Location	Forehead	4	3
	Eyelids	1	0
	Cheek	0	0
	Chin	1	1
	Neck	0	0
	Chest	1	0
	Abdomen	0	1
	Fingers	0	0
	Hands	7	5
	Forearms	1	0
	Lumbosacral	0	0
	Forefoot	1	0
	Legs	0	1
	Thigh	1	0

Sociedade Brasileira de Dermatologia Av. Rio Branco, 39 18. and., 20090-003 Rio de Janeiro RJ, Tel./Fax: +55 21 2253-6747 - Rio de Janeiro - RJ - Brazil
E-mail: revista@sbd.org.br

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[1] MAILING ADDRESS: Hossein Kavoussi, Hajdaiee dermatology clinic, Golestan Blvd, Kermanshah, Iran. E-mail: hkawosi@kums.ac.ir