Immediate Near-Total Scalp Reconstruction with Artificial Dermis on Exposed Calvarium

Park, Sooyeon; Han, Ki Taik; Kim, Min Cheol; Lim, Jin Soo

doi:10.7181/acfs.2016.17.4.233

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…The choice of the appropriate technique for the reconstruction of full-thickness skin defects usually depends on the depth and size of the defects [ 4 ]. Local flaps of the free flap are the most suggested procedure but require a good patient status to ensure the wanted outcome [ 6 ]. To bypass these limits, the adoption of STSGs and FTSGs should be considered.…”

Section: Discussionmentioning

confidence: 99%

The Use of Matriderm® for Scalp Full-Thickness Defects Reconstruction: A Case Series

Orabona¹,

Maffìa²,

Audino³

et al. 2022

JCM

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Background: The scalp region represent a common area affected by benignant and malignant skin tumor, and it represents a surgical challenge when it is needed to be reconstructed. The aim of this study is to present our experience with full-thickness scalp skin defects, reconstructed using Matriderm® dermal substitute and split-thickness skin graft (STSG). Methods: A retrospective analysis of patients treated for scalp region reconstruction was conducted with 16 patients. All patients underwent the same procedure: scalp full-thickness tumor excision with simultaneous reconstruction with Matriderm® and the application of a split-thickness skin graft in the same surgical time. During follow-ups, the surgical outcome was evaluated by accurate clinical examination of the wound, adopting the Vancouver Scar Scale (VSS). Results: The outcomes obtained were satisfying: wound healing at the end of the procedures was optimal, grafted skin resulted similar to surrounding tissue, and pigmentation and vascularity showed a decrease in the period between 6 months and 1 follow-up. Conclusions: The use of Matriderm® and split-thickness skin grafting for scalp full-thickness defects reconstruction resulted in an optimal, stable, and safe procedure, suitable for elderly patients.

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Section: Discussionmentioning

confidence: 99%

The Use of Matriderm® for Scalp Full-Thickness Defects Reconstruction: A Case Series

Orabona¹,

Maffìa²,

Audino³

et al. 2022

JCM

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Identification and Validation of a Novel Model: Predicting Short-Term Complications After Local Flap Surgery for Skin Tumor Removal

et al. 2022

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Background The aim was to analyze the risk factors for the occurrence of complications after local flap transfer and to construct a simple prediction model to help surgeons in the perioperative screening of high-risk patients. Material/Methods Short-term complications were defined as any postoperative infection, dehiscence, bleeding, subcutaneous effusion, fat liquefaction, arteriovenous crisis, and tissue necrosis that required medical consultation or intervention. To explore 16 factors influencing short-term complications after local flap transfer, least absolute shrinkage and selection operator (LASSO) logistic regression was used to reduce the dimensionality of the data and to screen for predictors. Independent risk factors affecting the development of complications after local flap transfer were analyzed using logistic multiple regression models. The consistency (C-)index, receiver operating characteristic (ROC) curves, and calibration curves were used to check the model’s discrimination and calibration. Decision curve analysis (DCA) curves were used to evaluate the clinical applicability of this model, and internal validation was assessed using bootstrap validation. Results The C-index of the nomogram model to predict short-term complications after local flap transfer was 0.763 (95% CI: 0.702–0.824), the area under the ROC curve was 0.763, and the internal validation C-index was 0.747. The calibration curve showed good agreement between observed and predicted values, and the DCA showed the model can benefit patients. Conclusions The model identified the relevant factors influencing short-term complications after local flap transfer, facilitating the identification and targeted intervention of patients at high risk of flap complications after surgery.

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Immediate Near-Total Scalp Reconstruction with Artificial Dermis on Exposed Calvarium

Cited by 2 publications

References 9 publications

The Use of Matriderm® for Scalp Full-Thickness Defects Reconstruction: A Case Series

The Use of Matriderm® for Scalp Full-Thickness Defects Reconstruction: A Case Series

Identification and Validation of a Novel Model: Predicting Short-Term Complications After Local Flap Surgery for Skin Tumor Removal

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