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DOI: 10.1055/s-0044-1791260
Dermal Regeneration Template Generated Skin Can Be Raised as A Flap: A New Dimension in Aesthetic Restoration
Autor*innen
Funding None.
Abstract
Childhood scars can lead to hideous aesthetic and functional deformities in young adults, which can be particularly distressing when involving the face and the breast in a female. Aesthetic restoration requires replacement of the whole or a part of the scarred skin by soft, pliable, and texture-matching skin, which nearly always is in short supply. Dermal regeneration templates (DRTs) can help in skin regeneration that is almost always aesthetically superior to most flaps. Aesthetic demands at the time of final restoration may require the regenerated skin to be moved as a local flap. As regenerated skin from dermal templates is known to match the vascularity of normal native skin, raising it as a flap should follow logically. This, however, has never been attempted to the best of our knowledge after a thorough literature search. We report a case of successfully using DRT-generated skin raised as a flap for aesthetic reconstruction of a postburn scarred breast in a young female. This adds a whole new dimension to the use of DRTs and points to a new field of research in scar management and aesthetic restoration.
Publikationsverlauf
Artikel online veröffentlicht:
01. Oktober 2024
© 2024. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Ananda Murthy K, Sarabahi S, Arumugam P, Babu M. ARC technique: an innovative method to assess true defect in postburn contracture release. Indian J Burns 2021; 29 (01) 104
- 2 Harrison CA, MacNeil S. The mechanism of skin graft contraction: an update on current research and potential future therapies. Burns 2008; 34 (02) 153-163
- 3 Goel A, Shrivastava P. Post-burn scars and scar contractures. Indian J Plast Surg 2010; 43: S63-S71
- 4 Chang DK, Louis MR, Gimenez A, Reece EM. The basics of Integra Dermal Regeneration Template and its expanding clinical applications. Semin Plast Surg 2019; 33 (03) 185-189
- 5 Leffler M, Horch RE, Dragu A, Bach AD. The use of the artificial dermis (Integra) in combination with vacuum assisted closure for reconstruction of an extensive burn scar–a case report. J Plast Reconstr Aesthet Surg 2010; 63 (01) e32-e35
- 6 Moiemen N, Yarrow J, Hodgson E. et al. Long-term clinical and histological analysis of Integra dermal regeneration template. Plast Reconstr Surg 2011; 127 (03) 1149-1154
- 7 Gronovich Y, Maisel Lotan A, Retchkiman M. Post-burn breast reconstruction using an artificial dermis-a long-term follow-up. Burns Trauma 2016; 4 (01) 12
- 8 Hamdan AM, Al-Chalabi MMM, Wan Sulaiman WA. Integra: an alternative option for reconstruction of extensive finger defects with exposed bones. Cureus 2021; 13 (07) e16223
- 9 Özgenel GY, Akın S, Kahveci R, Turan S, Özcan M. Reconstruction of burn-damaged female breasts. Eur J Plast Surg 2002; 25 (03) 152-155
- 10 Neale HW, Smith GL, Gregory RO, MacMillan BG. Breast reconstruction in the burned adolescent female (an 11-year, 157 patient experience). Plast Reconstr Surg 1982; 70 (06) 718-724
- 11 Bayram Y, Sahin C, Sever C, Karagoz H, Kulahci Y. Custom-made approach to a patient with post-burn breast deformity. Indian J Plast Surg 2014; 47 (01) 127-131
- 12 El-Otiefy MAE, Darwish AMA. Post-burn breast deformity: various corrective techniques. Ann Burns Fire Disasters 2011; 24 (01) 42-45
- 13 Hoinoiu T, Grujic D, Prilipceanu G. et al. The use of collagen-glycosaminoglycan biodegradable matrix (Integra®) in the management of neck postburn hypertrophic scars and contractures. Appl Sci (Basel) 2020; 10 (11) 3731
- 14 Janis JE, Kwon RK, Attinger CE. The new reconstructive ladder: modifications to the traditional model. Plast Reconstr Surg 2011; 127 (Suppl. 01) 205S-212S
- 15 Greenwood J, Amjadi M, Dearman B, Mackie I. Real-time demonstration of split skin graft inosculation and integra dermal matrix neovascularization using confocal laser scanning microscopy. Eplasty 2009; 9: e33
- 16 Taupin P, Gandhi A, Saini S. Integra® Dermal Regeneration Template: from design to clinical use. Cureus 2023; 15 (05) e38608
- 17 Moiemen NS, Staiano JJ, Ojeh NO, Thway Y, Frame JD. Reconstructive surgery with a dermal regeneration template: clinical and histologic study. Plast Reconstr Surg 2001; 108 (01) 93-103
- 18 Reiffel AJ, Henderson PW, Krijgh DD. et al. Mathematical modeling and frequency gradient analysis of cellular and vascular invasion into Integra and Strattice: toward optimal design of tissue regeneration scaffolds. Plast Reconstr Surg 2012; 129 (01) 89-99