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July 1969

Reverse Dermis Grafts on Bare Bone

Author Affiliations

Iowa City
From the Department of Otolaryngology and Maxillofacial Surgery, University of Iowa, Iowa City.

Arch Otolaryngol. 1969;90(1):79-82. doi:10.1001/archotol.1969.00770030081015

THERE has been a great deal written about the properties of a dermis graft.1-3 Several uses of this type of graft have been enumerated.4-6 A widespread conception is that a skin graft will not take on bare bone (bone denuded of periosteum) except, perhaps, in the orbit7-10 (written communication with W. C. Huffman and C. M. Kos).

A recent work by us11 was concerned with the ability of full thickness skin grafts and split thickness skin grafts to take on bare bone. There was an average percentage take of 18% of full thickness skin graft on bare bone and an average percentage take of 22% of split thickness skin graft on bare bone.

It is common surgical knowledge that bare bone is not as good as periosteum or granulation tissue as a host bed. It was decided to test the ability of the reverse dermis graft

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