Affiliation:
1. Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
2. Department of Plastic Surgery & Telemedicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
Abstract
AbstractManagement of complex wounds in the pediatric population is a herculean task due to the decreased surface area available for flaps and the added scars from flap reconstruction. Biodegradable temporizing matrix (BTM) has proven useful, particularly in adult burns and complex wounds. Only a few have documented the use of BTM in complex wounds in children. A 2-year-old child presented with tendoachilles exposure of the right ankle due to a crush injury in the spokes of a motorcycle. The wound was debrided and covered with BTM. After 5 weeks, the same was delaminated, healthy granulation tissue was found covering the tendoachilles, and the raw area was grafted. BTM proved to be a versatile option for converting a complex wound to a superficial wound, and it abetted the drawbacks of a flap cover: extended hospital stay, discomfort, prolonged immobilization, and additional scars.
Reference13 articles.
1. A biodegradable polyurethane dermal matrix in reconstruction of free flap donor sites: a pilot study;M J Wagstaff;Eplasty,2015
2. Comparison of a sealed, polymer foam biodegradable temporizing matrix against Integra® dermal regeneration template in a porcine wound model;J E Greenwood;J Burn Care Res,2012
3. Optimization of a polyurethane dermal matrix and experience with a polymer-based cultured composite skin;B L Dearman;J Burn Care Res,2014
4. Reconstruction of an anterior cervical necrotising fasciitis defect using a biodegradable polyurethane dermal substitute;M J Wagstaff;Eplasty,2017
5. Biodegradable temporising matrix in severe meningococcal septicaemia: a case report;M Jennings;Australasian Journal of Plastic Surgery.,2021