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Letter to the Editor| Volume 50, ISSUE 3, P243-247, June 2008

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Establishment of suction blister roof grafting by injection of local anesthesia beneath the epidermis: Less painful and more rapid formation of blisters

      The number of patients suffering from diabetic foot ulcers [
      • Yamaguchi Y.
      • Yoshida S.
      • Sumikawa Y.
      • Kubo T.
      • Hosokawa K.
      • Ozawa K.
      • et al.
      Rapid healing of intractable diabetic foot ulcers with exposed bones following a novel therapy of exposing bone marrow cells and then grafting epidermal sheets.
      ] and rheumatic ulcers [
      • Yamaguchi Y.
      • Sumikawa Y.
      • Yoshida S.
      • Kubo T.
      • Yoshikawa K.
      • Itami S.
      Prevention of amputation caused by rheumatic diseases following a novel therapy of exposing bone marrow, occlusive dressing and subsequent epidermal grafting.
      ] is increasing rapidly. Vitiligo is an acquired depigmented skin disorder that results from the destruction of melanocytes with unknown etiology. Suction blisters were first used for the transplantation of viable epidermis in vitiligo lesions and chronic wounds [
      • Falabella R.
      Epidermal grafting. An original technique and its application in achromic and granulating areas.
      ], followed by a simplified modification to form blisters [
      • Mukhtar M.
      • Singh S.
      • Shukla V.K.
      • Pandey S.S.
      Surgical pearl: suction syringe for epidermal grafting.
      ]. We have previously reported the usefulness of epidermal sheet grafts to treat intractable skin ulcers caused by autoimmune diseases [
      • Yamaguchi Y.
      • Sumikawa Y.
      • Yoshida S.
      • Kubo T.
      • Yoshikawa K.
      • Itami S.
      Prevention of amputation caused by rheumatic diseases following a novel therapy of exposing bone marrow, occlusive dressing and subsequent epidermal grafting.
      ], diabetes mellitus [
      • Yamaguchi Y.
      • Yoshida S.
      • Sumikawa Y.
      • Kubo T.
      • Hosokawa K.
      • Ozawa K.
      • et al.
      Rapid healing of intractable diabetic foot ulcers with exposed bones following a novel therapy of exposing bone marrow cells and then grafting epidermal sheets.
      ] or other diseases [
      • Yamaguchi Y.
      • Kubo T.
      • Tarutani M.
      • Sano S.
      • Asada H.
      • Kakibuchi M.
      • et al.
      Epithelial–mesenchymal interactions in wounds: treatment of palmoplantar wounds by nonpalmoplantar pure epidermal sheet grafts.
      ,
      • Yamaguchi Y.
      • Yoshikawa K.
      Cutaneous wound healing: an update.
      ] through their unique actions that differ from conventional skin grafts that include dermal components [
      • Yamaguchi Y.
      • Itami S.
      • Watabe H.
      • Yasumoto K.
      • Abdel-Malek Z.A.
      • Kubo T.
      • et al.
      Mesenchymal–epithelial interactions in the skin: increased expression of dickkopf1 by palmoplantar fibroblasts inhibits melanocyte growth and differentiation.
      ,
      • Yamaguchi Y.
      • Passeron T.
      • Hoashi T.
      • Watabe H.
      • Rouzaud F.
      • Yasumoto K.
      • et al.
      Dickkopf 1 (DKK1) regulates skin pigmentation and thickness by affecting Wnt/β-catenin signaling in keratinocytes.
      ].

      Abbreviation:

      T-SB (time required to generate suction blister)

      Keywords

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      References

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