IMPORTANT TERMINOLOGIES IN PLASTIC SURGERY
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| IMPORTANT TERMINOLOGIES IN PLASTIC SURGERY |
Debride Remove dead tissue from wound edges to reveal vital
tissue.
Dermatome Instrument for graft procurement. Can be mechanized
or freehand knife style. OR Dermatome: A medical device used for removing single-thickness
skin grafts.
Dorsal surface The back of the hand.
Eschar Tissue layer that forms over a burn site.
Expander A silicone sac placed beneath the skin and gradually
expanded to increase the surface area of the skin to cover a
defect.
Flap A multilayer tissue segment used as a surface cover. Can
remain attached to a vascularized pedicle or can be a separate
segment anastomosed to a new vascular attachment.
FTSG Full-thickness skin graft that consists of the epidermis and
dermis.
Graft A portion of tissue used as a surface cover..
Mesher A mechanical device used in the sterile field to cut slits
into a skin graft to expand the surface area.
Ptosis Drooping of a part such as an eyelid or breast.
Replantation Reattach a severed part. Involves the anastomosis of
vessels, nerves, and compact tissue.
STSG Split-thickness skin graft that consists of the epidermis and a
thin layer of papillary dermis.
“Take” The process of physiologic acceptance and integration of a
graft or flap.
Volar surface Palm side of the hand.
Aesthetic surgery: Surgery that is performed to improve
appearance but not necessarily function; also called cosmetic
surgery.
Allograft: A tissue graft in which the donor and recipient are of
the same species.
Autograft: The surgical transplantation of tissue from one part of
the body to another in the same individual.
Biological grafts: Grafts derived from live tissue, whether human
or animal.
Biosynthetic: A type of graft or implant material made of synthetic
absorbable material.
Composite graft: A biological graft composed of different types of
tissues such as skin and muscle.
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Fasciotomy: Longitudinal incisions made in the fascia to release
severe swelling or stricture, in compartment syndrome.
Full-thickness skin graft (FTSG): A skin graft composed of the
epidermis and dermis.
Hydro dressing: A dressing impregnated with a water-based gel.
This type of dressing prevents the wound from drying.
Hypertrophic scar: A raised scar characterized by excess collagen.
Implant: A metal, synthetic, natural, or biosynthetic substance
used to fill in or replace an anatomical structure.
Keloid: A hypertrophic scar occurring in dark-skinned
individuals. The scar may become bulbous and usually does
not reduce over time.
Mohs surgery: A procedure in which a malignant tissue mass is
removed and cut into quadrants before frozen section. These
quadrants are used to map the tumor and determine the
malignant margins.
Photo damage: Damage to the skin caused by ultraviolet light.
Plication: Folding of tissue and securing it in place surgically.
Porcine: Derived from pig tissue.
Ptosis: Drooping or sagging of any anatomical structure.
Split-thickness (or partial-thickness) skin graft (STSG): A skin graft
that consists of the epidermis and a portion of the papillary
dermis.
Synthetic grafts: Grafts derived from synthetic material compatible
with body tissue. Synthetic grafts may be soft, semisolid, or
liquid.
Undermine: A surgical technique in which a plane of tissue is
created or an existing tissue plane is lifted, such as skin from
the fascia.
Xenograft: A graft made up of tissue taken from one species and
grafted into another species (e.g., a porcine graft implanted
into human tissue).
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