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

De Angelis B, Gentile P, Tati E, Bottini DJ, Bocchini I, Orlandi F, Pepe G, Di Segni C, Cervelli G, Cervelli V - Biomed Res Int (2015)

Bottom Line: 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 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", 00133 Rome, Italy.

ABSTRACT
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 cm(2)) and for large defects (group B: mean defect size of 28.7 cm(2)) 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.

No MeSH data available.


Related in: MedlinePlus

Patient of group B: (a) preoperative appearance with big lesion, (b) detail of the lesion, (c) postoperative appearance in frontal projection after 45 days, and (d) postoperative appearance in back projection after 45 days.
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fig7: Patient of group B: (a) preoperative appearance with big lesion, (b) detail of the lesion, (c) postoperative appearance in frontal projection after 45 days, and (d) postoperative appearance in back projection after 45 days.

Mentions: In group B we obtained a score of 9 representing the value of the best clinical scar and a score of 20 for the worst clinical scar. The mean score of the MSS was 15.1 ± 3.3 (SD) representing a valid result (p < 0.05), also in patients with bigger lesions (maximum defect size of 65.94 cm2) reconstructed with local pericranial flap and Integra coverage (Figures 7 and 8).


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

De Angelis B, Gentile P, Tati E, Bottini DJ, Bocchini I, Orlandi F, Pepe G, Di Segni C, Cervelli G, Cervelli V - Biomed Res Int (2015)

Patient of group B: (a) preoperative appearance with big lesion, (b) detail of the lesion, (c) postoperative appearance in frontal projection after 45 days, and (d) postoperative appearance in back projection after 45 days.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663323&req=5

fig7: Patient of group B: (a) preoperative appearance with big lesion, (b) detail of the lesion, (c) postoperative appearance in frontal projection after 45 days, and (d) postoperative appearance in back projection after 45 days.
Mentions: In group B we obtained a score of 9 representing the value of the best clinical scar and a score of 20 for the worst clinical scar. The mean score of the MSS was 15.1 ± 3.3 (SD) representing a valid result (p < 0.05), also in patients with bigger lesions (maximum defect size of 65.94 cm2) reconstructed with local pericranial flap and Integra coverage (Figures 7 and 8).

Bottom Line: 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 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", 00133 Rome, Italy.

ABSTRACT
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 cm(2)) and for large defects (group B: mean defect size of 28.7 cm(2)) 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.

No MeSH data available.


Related in: MedlinePlus