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 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.

Reconstructive Surgery with a Dermal Regeneration Template: Clinical and Histologic Study

2001 ◽  
Vol 108 (1) ◽  
pp. 93-103 ◽  
Author(s):  
Naiem S. Moiemen ◽  
Jonathan J. Staiano ◽  
Nkemcho O. Ojeh ◽  
Yi Thway ◽  
James D. Frame
Keyword(s):  
Reconstructive Surgery ◽  
Histologic Study ◽  
Dermal Regeneration Template ◽  
Dermal Regeneration

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.

Screw Fixation of Dermal Regeneration Template for Scalp Reconstruction

2012 ◽  
Vol 68 (5) ◽  
pp. 457-460 ◽  
Author(s):  
Michael J. Orseck ◽  
Manny G. Trujillo ◽  
Edmond F. Ritter
Keyword(s):  
Screw Fixation ◽  
Scalp Reconstruction ◽  
Dermal Regeneration Template ◽  
Dermal Regeneration

scholarly journals One-Stage Reconstruction of Scalp after Full-Thickness Oncologic Defects Using a Dermal Regeneration Template (Integra)

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Barbara De Angelis ◽  
Pietro Gentile ◽  
Eleonora Tati ◽  
Davide J. Bottini ◽  
Ilaria Bocchini ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Cell Carcinoma ◽  
Complete Healing ◽  
Defect Size ◽  
Scalp Reconstruction ◽  
Scalp Defects ◽  
Dermal Regeneration Template ◽  
Group A ◽  
Dermal Regeneration ◽  
Group B

The use of Dermal Regeneration Template (DRT) can be a valid alternative for scalp reconstruction, especially in elderly patients where a rapid procedure with an acceptable aesthetic and reliable functional outcome is required. We reviewed the surgical outcome of 20 patients, 14 (70%) males and 6 (30%) females, who underwent application of DRT for scalp reconstruction for small defects (group A: mean defect size of 12.51 cm2) and for large defects (group B: mean defect size of 28.7 cm2) after wide excision of scalp neoplasm (basal cell carcinoma and squamous cell carcinoma). In group A, the excisions were performed to the galeal layer avoiding pericranium, and in group B the excisions were performed including pericranium layer with subsequent coverage of the exposed bone with local pericranial flap. In both the groups (A and B) after the excision of the tumor, the wound bed was covered with Dermal Regeneration Template. In 3 weeks we observed the complete healing of the wound bed by secondary intention with acceptable cosmetic results and stable scars. Scalp reconstruction using a DRT is a valid coverage technique for minor and major scalp defects and it can be conducted with good results in elderly patients with multiple comorbidities.

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