Platelet-Rich Plasma for Skin Graft Storage: An Experimental Study Using Rabbit Ears

BACKGROUNDStorage of surplus grafts for later use is one of the standard procedures used in plastic surgery. For the delayed use of skin grafts, various methods and media have been investigated for short-term storage. This study aimed to investigate the effect of platelet-rich plasma (PRP) skin graft storage on the survival of skin grafts obtained from rabbit ears. MATERIALS AND METHODSTwelve rabbits were used in this study. A total of 12 skin grafts measuring 1 × 1 cm were obtained from the inner surfaces of the rabbitsʼ ears. The grafts were stored at +4°C in saline, Hartmannʼs, and PRP media. On days 3, 7, 10, and 14, the grafts were implanted into the ears in areas measuring 1 × 1 cm where the skin, cartilage, and perichondria were excised. After the implantation of the grafts, the survival rates were evaluated by measuring the graft areas on day 0, day 10, and day 30. RESULTSThe graft survival rate decreased as the storage period increased in all 3 of the media. The decrease in survival rate was higher in the grafts that were stored in the Hartmannʼs media in comparison with the saline and PRP media, and the difference was statistically significant. The decrease in graft survival was similar between the storage in saline and PRP media; however, the differences were statistically insignificant. CONCLUSIONSAlthough in vitro criteria are important for evaluating graft survival, in vivo studies showing the graft take rate in the recipient area are required. When the in vivo criteria are evaluated, the use of PRP is not superior to the use of saline for graft storage. However, additional studies are required to evaluate the effects of PRP media on graft quality.