PMC5334498_01
Necrotic skin lesion on day 2 after spider bite.
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The bite site turned necrotic during the second day (Fig. 2).
Defect on day 12 (A) and day 26 (B) after spider bite.
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The patient presented with a soft tissue defect on the right upper aspect of the nose extending to the medial canthus, completely exposing the underlying muscles (Fig. 3A). The underlying muscles were visible and confined the deep extension of the defect (Fig. 3A). The defect had healed well from initial presentation but far from completely, measuring approximately 17 x 19 millimeters after gentle wound revision prior to skin grafting (Fig. 3B).
Adherent skin graft at 5 days postoperatively.
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The patient was referred to the outpatient clinic for dressing and suture removal at five days postoperatively, where the skin graft appeared vital with no signs of skin necrosis or infection (Fig. 4).
Follow-up 3 months (A) and 14 months (B) postoperatively.
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At follow-up three months (Fig. 5A) and 14 months (Fig. 5B) after the first and so far final stage of reconstruction, the trimmed FTSG had engrafted nicely with only slightly raised edges and minor color mismatch to the surrounding skin.