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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...

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Detalles Bibliográficos
Autores principales: Applebaum, M. A., Daggett, J. D., Carter, W. L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Open Science Company, LLC 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4672359/
https://www.ncbi.nlm.nih.gov/pubmed/26681994
Descripción
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.