Restoration of skin defect using micro-autograft in an infant: the first experience

Abstract

Background: The causes of many pathological conditions in neonates with very low gestational weight and fetal growth retardation remain unclear. One such condition is massive, rapid-onset skin necrosis in various parts of the body. In this article, we present the case of a small for gestational age neonate with extensive necrosis of the skin and subcutaneous tissues of the upper extremities and back. Aim: To provide a detailed review of a clinical case of skin necrosis of the upper extremities and back in a small for gestational age infant. Method: A report of a single case with a detailed description of an improved skin micro-autografting technique. Result: Skin integrity was successfully restored after multiple debridements by using this micro-autograft technique in a small for gestational age infant. Conclusion: Timely appropriate debridement followed by micro-autografts, as part of a comprehensive and interdisciplinary care approach, resulted in the successful treatment of a small for gestational age infant with extensive skin necrosis.

Keywords

• infant
• skin micro-autografts
• necrotomy
• skin necrosis
• xenografting