Dermal Substitute Integra for the Treatment of Mammalian Bite Injuries of Nose: a New Reconstructive Ladder
Background:. Bite injuries affecting the nose are uncommon occurrences characterized by their intricate nature and potential for severe complications. These injuries, inflicted by animals such as dogs and cats, and occasionally by humans, often result in traumatic nasal defects, with the lower third...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2024-11-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006319 |
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| author | Ilaria Mataro, MD Santolo D’Antonio, MD Matteo D’Alessio, MD Carlo Petroccione, MD Dario D’Angelo, MD Simone La Padula, MD Roberto D’Alessio, MD Stefano Avvedimento, MD |
| author_facet | Ilaria Mataro, MD Santolo D’Antonio, MD Matteo D’Alessio, MD Carlo Petroccione, MD Dario D’Angelo, MD Simone La Padula, MD Roberto D’Alessio, MD Stefano Avvedimento, MD |
| author_sort | Ilaria Mataro, MD |
| collection | DOAJ |
| description | Background:. Bite injuries affecting the nose are uncommon occurrences characterized by their intricate nature and potential for severe complications. These injuries, inflicted by animals such as dogs and cats, and occasionally by humans, often result in traumatic nasal defects, with the lower third of the nose being the most affected area. Current reconstructive options for nasal defects include full-thickness skin grafts, local or regional flaps, and composite grafts. The traditional reconstructive ladder serves as a valuable guide for surgeons, outlining a continuum of treatment options from simpler to more complex interventions. Advancements in reconstructive technologies, such as the introduction of dermal substitutes, have reshaped the decision-making process, ushering in a new era of facial reconstruction.
Methods:. In this context, dermal substitutes have emerged as promising adjuncts in nasal reconstruction, drawing from their success in burn surgery. Notably, the bilayered dermal substitute Integra has demonstrated efficacy in promoting wound healing and facilitating tissue regeneration. By harnessing the regenerative potential of Integra, plastic surgeons can address specific nasal defects arising from bite injuries with greater precision and improved outcomes.
Results:. This study aims to present a case series of patients with bite injuries to the nose, showcasing the successful application of Integra dermal substitute in conjunction with secondary full-thickness skin grafting.
Conclusions:. Through a retrospective analysis of patient demographics, injury characteristics, surgical interventions, and postoperative outcomes, we seek to underscore the utility of this combined approach in achieving optimal functional and aesthetic results. We aim to contribute to the evolving paradigm of nasal reconstruction. |
| format | Article |
| id | doaj-art-89f69989b13e4f2699ec765eb0178de2 |
| institution | OA Journals |
| issn | 2169-7574 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-89f69989b13e4f2699ec765eb0178de22025-08-20T02:23:10ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742024-11-011211e631910.1097/GOX.0000000000006319202411000-00045Dermal Substitute Integra for the Treatment of Mammalian Bite Injuries of Nose: a New Reconstructive LadderIlaria Mataro, MD0Santolo D’Antonio, MD1Matteo D’Alessio, MD2Carlo Petroccione, MD3Dario D’Angelo, MD4Simone La Padula, MD5Roberto D’Alessio, MD6Stefano Avvedimento, MD7From the * Department of Plastic Reconstructive Surgery and BURNS, AORN A. Cardarelli, Napoli, Italy† Department of Plastic and Reconstructive Surgery, Università degli studi di Napoli Federico II, Napoli, Italy‡ Department of Plastic Reconstructive Surgery, University of Campania, “Luigi Vanvitelli,” Plastic Surgery Unit, Naples, Italy.From the * Department of Plastic Reconstructive Surgery and BURNS, AORN A. Cardarelli, Napoli, ItalyFrom the * Department of Plastic Reconstructive Surgery and BURNS, AORN A. Cardarelli, Napoli, Italy† Department of Plastic and Reconstructive Surgery, Università degli studi di Napoli Federico II, Napoli, ItalyFrom the * Department of Plastic Reconstructive Surgery and BURNS, AORN A. Cardarelli, Napoli, ItalyFrom the * Department of Plastic Reconstructive Surgery and BURNS, AORN A. Cardarelli, Napoli, ItalyBackground:. Bite injuries affecting the nose are uncommon occurrences characterized by their intricate nature and potential for severe complications. These injuries, inflicted by animals such as dogs and cats, and occasionally by humans, often result in traumatic nasal defects, with the lower third of the nose being the most affected area. Current reconstructive options for nasal defects include full-thickness skin grafts, local or regional flaps, and composite grafts. The traditional reconstructive ladder serves as a valuable guide for surgeons, outlining a continuum of treatment options from simpler to more complex interventions. Advancements in reconstructive technologies, such as the introduction of dermal substitutes, have reshaped the decision-making process, ushering in a new era of facial reconstruction. Methods:. In this context, dermal substitutes have emerged as promising adjuncts in nasal reconstruction, drawing from their success in burn surgery. Notably, the bilayered dermal substitute Integra has demonstrated efficacy in promoting wound healing and facilitating tissue regeneration. By harnessing the regenerative potential of Integra, plastic surgeons can address specific nasal defects arising from bite injuries with greater precision and improved outcomes. Results:. This study aims to present a case series of patients with bite injuries to the nose, showcasing the successful application of Integra dermal substitute in conjunction with secondary full-thickness skin grafting. Conclusions:. Through a retrospective analysis of patient demographics, injury characteristics, surgical interventions, and postoperative outcomes, we seek to underscore the utility of this combined approach in achieving optimal functional and aesthetic results. We aim to contribute to the evolving paradigm of nasal reconstruction.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006319 |
| spellingShingle | Ilaria Mataro, MD Santolo D’Antonio, MD Matteo D’Alessio, MD Carlo Petroccione, MD Dario D’Angelo, MD Simone La Padula, MD Roberto D’Alessio, MD Stefano Avvedimento, MD Dermal Substitute Integra for the Treatment of Mammalian Bite Injuries of Nose: a New Reconstructive Ladder Plastic and Reconstructive Surgery, Global Open |
| title | Dermal Substitute Integra for the Treatment of Mammalian Bite Injuries of Nose: a New Reconstructive Ladder |
| title_full | Dermal Substitute Integra for the Treatment of Mammalian Bite Injuries of Nose: a New Reconstructive Ladder |
| title_fullStr | Dermal Substitute Integra for the Treatment of Mammalian Bite Injuries of Nose: a New Reconstructive Ladder |
| title_full_unstemmed | Dermal Substitute Integra for the Treatment of Mammalian Bite Injuries of Nose: a New Reconstructive Ladder |
| title_short | Dermal Substitute Integra for the Treatment of Mammalian Bite Injuries of Nose: a New Reconstructive Ladder |
| title_sort | dermal substitute integra for the treatment of mammalian bite injuries of nose a new reconstructive ladder |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006319 |
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