Nappage Technique is a surgical technique used in skin grafts where a thin layer of donor skin is placed over burned areas of skin for improved cosmetic results. This technique was first developed in the mid-20th century by French dermatologist Dr. Pierre-Francois Remen. The Nappage Technique works by transferring a thin layer of donor skin to the injured area that allows for grafting of more complicated burned skin areas. This procedure aims to reduce the amount of scarring or contracture seen in burn victims due to the healing and contraction of burned skin. The patient’s skin is shaved to a uniform thickness and the donor skin is applied with that same thickness. The donor skin may be transferred from another part of the body or from an allograft donor. Once transferred, the donor skin is placed on top of the burned area, allowing for a more uniform and natural-looking result. The donor skin is stitched or glued down, offering additional protection from infection as well as improved mobility of the damaged areas. Complications are rare, but may include infection, delayed wound healing or dehiscence at the donor site. The Nappage Technique provides a good quality and lasting result for burn victims. It may even be used in combination with other reconstructive techniques for maximum aesthetic results. With the Nappage Technique, reconstructive surgeons can ensure improved cosmetic and functional recovery, leading to improved quality of life.
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