VITILIGO SURGERY – EXPANDING THE AESTHETIC HORIZON

Aarthi. B. K., Vignesh. N. R, Manimegalai. M

Abstract


BACKGROUND: Autologous negative pressure epidermal harvesting system(ANPEHS) is a newer method where vacuum and heat are used to
raise epidermal microdomes. We studied the outcome of ANPEHS, mini punch grafting and split skin grafting in patients with stable vitiligo.
AIM: To compare efficacy of ANPEHS, mini punch grafting and split skin grafting in stable vitiligo.
METHODS: 18 patients with stable vitiligo were randomised into 3 groups A, B, and C. Group-A underwent ANPEHS, group-B mini punch
grafting and group-C split skin grafting. Outcome was assessed by VASI score, downtime, colour match, complications and improvement in
quality of life.
RESULTS: ANPEHS showed faster and cosmetically better repigmentation. There were no complications like cobblestoning, colour mismatch,
scarring and peri-graft halo in group-A
CONCLUSION: ANPEHS is a simple, safe, faster method of autologous epidermal harvesting in stable vitiligo which gives higher aesthetic
outcome.


Keywords


Vitiligo Surgery, Epidermal Grafting, Aesthetic Outcome

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References


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