Fibrin Glue and Autologous Split-Thickness Skin Graft after Facial Skin Cancer Resection

Objective: To review the key points and limitations of potentiating autologous split-thickness skin graft survival using fibrin glue for the reconstruction of cutaneous defects following oncologic resection of facial tumors. Case Report: A patient who underwent resection of a facial fibrosarcoma and subsequent reconstruction by autologous split-thickness skin graft secured with biologic fibrin glue. Results: There was ninety-percent primary survival of the skin graft at three weeks. Partial necrosis of 10% of the graft surface was successfully managed by debridement and topical application of honey. Conclusion: The time-honored autologous split-thickness skin graft is a useful means of reconstructing cutaneous defects after resection of facial tumors. The application of fibrin glue may avoid the conventional bolster dressing used to stabilize the graft during the early postoperative period.