Bovine Dermal Matrix as Coverage of Facial Nerve Grafts
Introduction. Soft tissue defects over functional structures represent a challenge for the reconstructive surgeon. Often complex, reconstructive procedures are required. Occasionally, elderly or sick patients do not qualify for these extensive procedures. Case. We present the case of a 91-year-old l...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/512921 |
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| author | E. A. Kappos P. E. Engels R. Wettstein D. J. Schaefer D. F. Kalbermatten |
| author_facet | E. A. Kappos P. E. Engels R. Wettstein D. J. Schaefer D. F. Kalbermatten |
| author_sort | E. A. Kappos |
| collection | DOAJ |
| description | Introduction. Soft tissue defects over functional structures represent a challenge for the reconstructive surgeon. Often complex, reconstructive procedures are required. Occasionally, elderly or sick patients do not qualify for these extensive procedures. Case. We present the case of a 91-year-old lady with large hemifacial defect with exposed bone and nerves after tumor resection. We first performed radical resection including the fascia of the temporalis muscle and the frontal branch of the facial nerve. Due to the moribund elderly patient with a potentially high perioperative risk, we decided against flap reconstruction but to use bovine collagen/elastin matrix and split thickness skin graft. Results. No postoperative complications occurred and STSG and matrix healed uneventfully. Discussion. In selected cases, where complex reconstruction is not appropriate, this procedure can be a safe, easy, and fast alternative for covering soft tissue defects even on wound grounds containing nerve grafts. |
| format | Article |
| id | doaj-art-cc0a8adfc14a46b682a996dbfd6535f5 |
| institution | OA Journals |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-cc0a8adfc14a46b682a996dbfd6535f52025-08-20T02:19:57ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/512921512921Bovine Dermal Matrix as Coverage of Facial Nerve GraftsE. A. Kappos0P. E. Engels1R. Wettstein2D. J. Schaefer3D. F. Kalbermatten4Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Spitalstraße 21, 4031 Basel, SwitzerlandDepartment of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Spitalstraße 21, 4031 Basel, SwitzerlandDepartment of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Spitalstraße 21, 4031 Basel, SwitzerlandDepartment of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Spitalstraße 21, 4031 Basel, SwitzerlandDepartment of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Spitalstraße 21, 4031 Basel, SwitzerlandIntroduction. Soft tissue defects over functional structures represent a challenge for the reconstructive surgeon. Often complex, reconstructive procedures are required. Occasionally, elderly or sick patients do not qualify for these extensive procedures. Case. We present the case of a 91-year-old lady with large hemifacial defect with exposed bone and nerves after tumor resection. We first performed radical resection including the fascia of the temporalis muscle and the frontal branch of the facial nerve. Due to the moribund elderly patient with a potentially high perioperative risk, we decided against flap reconstruction but to use bovine collagen/elastin matrix and split thickness skin graft. Results. No postoperative complications occurred and STSG and matrix healed uneventfully. Discussion. In selected cases, where complex reconstruction is not appropriate, this procedure can be a safe, easy, and fast alternative for covering soft tissue defects even on wound grounds containing nerve grafts.http://dx.doi.org/10.1155/2014/512921 |
| spellingShingle | E. A. Kappos P. E. Engels R. Wettstein D. J. Schaefer D. F. Kalbermatten Bovine Dermal Matrix as Coverage of Facial Nerve Grafts Case Reports in Medicine |
| title | Bovine Dermal Matrix as Coverage of Facial Nerve Grafts |
| title_full | Bovine Dermal Matrix as Coverage of Facial Nerve Grafts |
| title_fullStr | Bovine Dermal Matrix as Coverage of Facial Nerve Grafts |
| title_full_unstemmed | Bovine Dermal Matrix as Coverage of Facial Nerve Grafts |
| title_short | Bovine Dermal Matrix as Coverage of Facial Nerve Grafts |
| title_sort | bovine dermal matrix as coverage of facial nerve grafts |
| url | http://dx.doi.org/10.1155/2014/512921 |
| work_keys_str_mv | AT eakappos bovinedermalmatrixascoverageoffacialnervegrafts AT peengels bovinedermalmatrixascoverageoffacialnervegrafts AT rwettstein bovinedermalmatrixascoverageoffacialnervegrafts AT djschaefer bovinedermalmatrixascoverageoffacialnervegrafts AT dfkalbermatten bovinedermalmatrixascoverageoffacialnervegrafts |