Comparative Study of Flip-top Transplantation and Punch Grafting in Stable Vitiligo

    loading  Checking for direct PDF access through Ovid

Abstract

Background

Because of limitations of medical treatment in vitiligo, various surgical techniques have been devised. There is a scarcity of comparative studies of surgical techniques in vitiligo.

Objective

To compare the effectiveness and side-effect profile of flip-top transplantation (FTT) and punch grafting (PG) in patients with stable vitiligo.

Materials and Methods

Twenty patients with stable vitiligo were treated using PG and FTT on 26 lesions; 156 grafts were taken (78 PG, 78 flip-top grafts). They were graded for response in the form of repigmentation as excellent (91–100%), very good (76–90%), good (51–75%), fair (31–50%), poor (<30%). Onset and maximum pigment spread were observed.

Results

Sixty-five percent of our patients showed excellent repigmentation with FTT, versus 50% with PG (p = .44). Thirty percent of patients with FTT and 40% with PG had side effects. The differences in onset of repigmentation, completion, and pigment spread between the two techniques were statistically significant (p < .001).

Conclusions

Flip-top transplantation was equally effective as PG for treating vitiligo, although graft uptake rate was higher with FTT, with more pigment spread, and cost less.

Related Topics

    loading  Loading Related Articles