The use of Integra dermal regeneration matrix in the surgical treatment of a recurrent, extensive malignant skin lesion in the temporal region

2013 ◽  
Vol 154 (6) ◽  
pp. 225-227 ◽  
Author(s):  
Csaba Halmy ◽  
Zoltán Nádai ◽  
Krisztián Csőre ◽  
Adrienne Vajda ◽  
Róbert Tamás
Keyword(s):  
Surgical Treatment ◽  
Skin Lesion ◽  
Surgical Management ◽  
Skin Grafting ◽  
Skin Tumor ◽  
Temporal Region ◽  
Aesthetic Result ◽  
Malignant Skin ◽  
Dermal Regeneration Template ◽  
Dermal Regeneration

Authors report on the use of Integra dermal regeneration template after excision of an extended, recurrent skin tumor in the temporal region. The area covered with Integra was 180 cm2. Skin grafting to cover Integra was performed on the 28th day. Both Integra and the skin transplant were taken 100%. Integra dermal regeneration template can provide good functional and aesthetic result in the surgical management of extended skin tumors over the skull. Orv. Hetil., 2013, 154, 225–227.

Management of severe hand wounds with integra® dermal regeneration template

2010 ◽  
Vol 36 (3) ◽  
pp. 185-193 ◽  
Author(s):  
R. Weigert ◽  
H. Choughri ◽  
V. Casoli
Keyword(s):  
Clinical Experience ◽  
Free Flap ◽  
Skin Grafting ◽  
Effective Technique ◽  
Flap Coverage ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting ◽  
Dermal Regeneration Template ◽  
Dermal Regeneration

We report our experience with the use of Integra® for the management of severe traumatic wounds of the hand. Fifteen patients were treated with follow-up ranging from 10 to 37 months. Wounds were associated with an osseous and/or joint and/or tendon exposure. Following Integra® placement, patients were managed with dressings and subsequent split-thickness skin grafting an average of 26 days later. Integra® was successful in achieving durable, functional and aesthetic definitive coverage in 13 of 15 applications while allowing a satisfying pollicidigital prehension. Regarding our clinical experience, Integra® is an effective technique to deal with severe wounds of the hand with exposed tendon and/or bone and/or joint, even in the absence of paratenon or periosteum. This can potentially lessen the need for local rotational or free flap coverage and should be taken into consideration as a viable alternative in traumatic reconstruction of the hand.

scholarly journals Use of the sternocleidomastoid flap in association with a dermal regeneration template and a skin graft in the temporal region reconstruction

2017 ◽  
Vol 2 (1) ◽  
pp. 27-31
Author(s):  
Maria Alessandra Bocchiotti ◽  
Luca Raimondo ◽  
Silvia Germano ◽  
Erind Ruka ◽  
Ambra Frenello ◽  
...  
Keyword(s):  
Skin Graft ◽  
Single Layer ◽  
Head And Neck Reconstruction ◽  
Temporal Region ◽  
Skin Paddle ◽  
Regional Flap ◽  
Dermal Regeneration Template ◽  
Muscular Flap ◽  
Dermal Regeneration ◽  
The Right

AbstractSince its first description in 1908, the sternocleidomastoid flap (SCM) has gained popularity in head-and-neck reconstruction as a regional flap. We reported a 69-year-old Caucasian male who was evaluated in our clinic for a large, bloody, esophitic, and ulcerated lesion of the right temporoparotideal region associated with several actinic keratoses of the head skin. After resection of the tumor, taking into consideration the patient’s comorbidities and surgical defect characteristics, we decided to use the SCM flap for the reconstruction. The SCM flap was harvested as a muscular flap to avoid as possible skin paddle necrosis due to the poor conditions of the patient’s vessels. Moreover, considering the surgical site depth and to prevent a postsurgical excessive scar retraction, the muscle was covered with Integra® Dermal Regeneration Template single layer and a skin graft was harvested from the left thigh. The follow-up at 1 year confirmed that both oncological and reconstructive goals were successfully achieved. In our experience, the SCM flap in association with a dermal regeneration template and a skin graft can be considered as a reliable and possible option in temporal region reconstruction when local or systemic conditions of the patient do not permit other reconstructive options.

scholarly journals A New Algorithm for The Surgical Management of Defects of the Scalp

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Mario Cherubino ◽  
Dominic Taibi ◽  
Stefano Scamoni ◽  
Francesca Maggiulli ◽  
Danilo Di Giovanna ◽  
...  
Keyword(s):  
Surgical Management ◽  
Free Flap ◽  
Reconstructive Surgery ◽  
Clinical Condition ◽  
Primary Closure ◽  
Statistical Difference ◽  
Scalp Reconstruction ◽  
Ablative Surgery ◽  
Dermal Regeneration Template ◽  
Dermal Regeneration

Scalp reconstruction is a daily challenge for plastic surgeons. The authors propose their algorithm for reconstructive surgery after ablative surgery. They considered not only the size defect but also the anatomical defect and the clinical condition of the patient to achieve the best choice for reconstruction. During the two-year period, a total of 86 procedures were performed on 78 patients. We used five different techniques for reconstruction, including primary closure, graft, local or free flap, and a dermal regeneration template. No statistical difference of complication was observed in the different groups. We consider our algorithm a useful improvement in the management of the defect at the vertex.

The role of Integra dermal regeneration matrix in skin replacement on the upper extremity

2012 ◽  
Vol 153 (34) ◽  
pp. 1351-1355 ◽  
Author(s):  
Csaba Halmy ◽  
Zoltán Nádai ◽  
Gergely Tamás ◽  
Tamás Kassai ◽  
Róbert Tamás
Keyword(s):  
Skin Grafting ◽  
Upper Extremities ◽  
Dermal Regeneration Template ◽  
Skin Replacement ◽  
Male Patients ◽  
Dermal Regeneration ◽  
Skin Coverage ◽  
Complex Wounds ◽  
Grafting Onto

Authors report the application of Integra dermal regeneration matrix in 10 patients in 12 indications (ages 25–74 years, 6 female and 4 male patients). The smallest reconstructed area was 6 cm2, the largest was 500 cm2. Skin coverage was needed on the lower arm in two patients, on the lower arm and the hand in two patients and on the hand in six patients. Skin grafting onto the neodermis was made on days 19–25. The take rate of Integra was equal or higher than 97%, and the take rate of the skin graft was equal or higher than 90%. Integra dermal regeneration template proved to be suitable for the management of complex wounds on the hands and upper extremities. Orv. Hetil., 2012, 153, 1351–1355.

scholarly journals Surgical Management and Reconstruction of Hoffman’s Disease (Dissecting Cellulitis of the Scalp)

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Justin M. Hintze ◽  
Brittany E. Howard ◽  
Carrlene B. Donald ◽  
Richard E. Hayden
Keyword(s):  
Surgical Treatment ◽  
Surgical Management ◽  
Medical Management ◽  
Skin Grafting ◽  
Sinus Tract ◽  
Complete Resection ◽  
Reconstruction Surgery ◽  
Disease Remission ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting

Dissecting cellulitis of the scalp, or Hoffman’s disease, is a rare dermatologic condition characterized by recurrent pustules and sinus tract formation leading to scarring and alopecia. Medical management includes the use of corticosteroids, antibiotics, isotretinoin, and adalimumab. In cases where the disease is severe, refractory, and intractable, surgery is an option. We report two cases of Hoffman’s disease, where medical management failed to achieve remission. Surgical treatment was undertaken with complete resection of the affected scalp in staged procedures with subsequent split-thickness skin grafting for reconstruction. Surgery achieved both disease remission and excellent aesthetic outcomes in both patients.

Management of large scalp and skull defects in a severe case of Adams-Oliver syndrome

2009 ◽  
Vol 4 (6) ◽  
pp. 523-527 ◽  
Author(s):  
Mostafa El Khashab ◽  
Samuel T. Rhee ◽  
Sean D. Pierce ◽  
Yasmin El Khashab ◽  
Farideh Nejat ◽  
...  
Keyword(s):  
Skin Grafting ◽  
Severe Case ◽  
Skull Defects ◽  
Rare Congenital Disorder ◽  
Threatening Condition ◽  
Dermal Regeneration Template ◽  
Life Threatening ◽  
Dermal Regeneration ◽  
Cutis Aplasia ◽  
Large Skin

Adams-Oliver syndrome is a rare congenital disorder that includes congenital scalp and skull defects, variable degrees of terminal transverse limb anomalies, and cardiac malformations. Cutis aplasia occurring in 75% of patients is a potentially life-threatening condition. Large skin defects that cannot be closed primarily present a management dilemma, and may require skin grafting or flaps, or a combination of both operative and conservative modalities. The authors' experience in management of huge scalp and bone defects with the Integra Dermal Regeneration Template and regular dressing changes showed good scalp repair and no serious complications attributed to this approach.

scholarly journals Malignant Skin Tumor Misdiagnosed as a Benign Skin Lesion

2016 ◽  
Vol 17 (2) ◽  
pp. 86 ◽  
Author(s):  
So-Min Hwang ◽  
Hao-Ching Pan ◽  
Min-Kyu Hwang ◽  
Min-Wook Kim ◽  
Jong-Seo Lee
Keyword(s):  
Skin Lesion ◽  
Skin Tumor ◽  
Malignant Skin
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