The use of MATRIDERM(Ⓡ) as a single stage salvage procedure to cover exposed dura Mater

Reconstruction of large full-thickness scalp defects with exposed cranial bone or dura are usually performed with free flaps. However, certain medical conditions in fragile patients may contraindicate this type of surgery. In those circumstances, Dermal Regeneration Templates (DRTs) can provide an a...

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Detalles Bibliográficos
Autores principales: Coulie, Julien, Gerdom, Alexander, Chrelias, Theodoros, Lengelé, Benoît, Coyette, Maude
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7726479/
https://www.ncbi.nlm.nih.gov/pubmed/33319011
http://dx.doi.org/10.1016/j.jpra.2020.09.009
Descripción
Sumario:Reconstruction of large full-thickness scalp defects with exposed cranial bone or dura are usually performed with free flaps. However, certain medical conditions in fragile patients may contraindicate this type of surgery. In those circumstances, Dermal Regeneration Templates (DRTs) can provide an alternative solution to flap surgery. We here report the case of a 79-year old woman presenting with a large cranial defect and exposed dura mater after developing postsurgical Pyoderma Gangrenosum and subsequent free flap failure. A one-stage salvage reconstruction was successfully performed with MATRIDERM(Ⓡ) (MedSkin Solutions Dr. Suwelack AG, Germany) and a split-thickness skin graft (STSG) with a Vacuum-Assisted Closure (VAC) dressing.

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