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Nasal Tip Reconstruction Using Integra Bilayer Wound Matrix: An Alternative to the Forehead Flap
Large defects of the nasal tip with exposure of the underlying cartilage pose a significant reconstructive challenge to the plastic surgeon. Objective: This article presents a case of a large nasal tip defect following basal cell excision that was successfully treated with Integra bilayer wound matr...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Open Science Company, LLC
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4672359/ https://www.ncbi.nlm.nih.gov/pubmed/26681994 |
Sumario: | Large defects of the nasal tip with exposure of the underlying cartilage pose a significant reconstructive challenge to the plastic surgeon. Objective: This article presents a case of a large nasal tip defect following basal cell excision that was successfully treated with Integra bilayer wound matrix and skin grafting. Methods: Following tumor excision, meshed Integra bilayer wound matrix was placed over the exposed nasal tip cartilage. After 4 weeks, the silicone layer was removed and a full-thickness graft placed on the nasal tip. Results: This reconstruction resulted in the restoration of patient's nasal tip with good contour and color match without the need for a forehead flap. Conclusion: This demonstrates the reconstructive potential of this modality in patients who are not candidates for reconstruction with a forehead flap. |
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