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Disposable syringe barrel splint for retaining dressing on lip
How to cite this article: Mukhtar M. Disposable syringe barrel splint for retaining dressing on lip. CosmoDerma 2022;2:101.
Epidermal skin grafting is a common surgical procedure for treating lip vitiligo with better cosmetic results. However, retaining the graft over the lip is difficult, which is crucial for the clinical results. Moreover, the graft dressing and its retention are a surgical challenge on the movable lip.
To combat the abovementioned issue, a customized disposable syringe barrel has been used for post-operative stabilization of the lip dressing and retention of the graft over the operated site. For this, a barrel with the ideal diameter (often a 5 mL syringe) is selected and cut on both sides to obtain an optimum length for the splint. After this, the barrel is slit longitudinally and about one-fourth to one-third part of the barrel is sliced out lengthwise to get a semi-circular (horseshoe arched) splint [Figure 1a and b]. Then, this splint is applied over the lip for gripping and stabilizing the lip without exerting significant compression and discomfort [Figure 2a and b]. The barrel splint is applied for 5–7 days. If patients experience discomfort, the splint can be removed for 5–10 min every 2–3 h. However, the barrel should remain in place during active lip movement, such as eating or conversation. If some patients continue to have discomfort, we may assess the barrel mismatch with lip dressing and some areas of the barrel are sliced. This personalized splint is simple to use, inexpensive, readily available, and sterile. Sharp edges can be blunted and plastic splint can be moulded by heat for proper snug.
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Patients’ consent not required as patients’ identity is not disclosed or compromised.
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