Augmented Skin Grafting: A New Rung in the Reconstructive Ladder

Landeen, Kelly C; Davis, Seth J.; Dedhia, Raj; Shastri, Karthik; Ries, William Russell; Stephan, Scott J.

doi:10.1089/fpsam.2021.0112

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…[1][2][3][4][5][6][7] Bioengineered dermal scaffolds were developed in part to overcome these limitations. [8][9][10][11][12] Among these, NovoSorb biodegradable temporizing matrix (BTM) has emerged as a promising option. BTM is a completely synthetic bilayer skin substitute made of a biodegradable polyurethane matrix foam covered with a nonbiodegradable polyurethane sealing membrane to mimic the dermis and epidermis, respectively.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Biodegradable Temporizing Matrix for Soft Tissue Reconstruction of the Hand and Extremities

Struble,

Patel,

Graham

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Background: NovoSorb biodegradable temporizing matrix (BTM) is a novel, bilayer, synthetic skin substitute made of biodegradable polyurethane foam covered with a sealing membrane. BTM has demonstrated excellent outcomes in burn literature; however, few studies have been published for hand and extremity soft tissue reconstruction. Methods: All patients who underwent extremity reconstruction with BTM from 2018 to 2023 were reviewed. Demographics, presentations, and clinical outcomes were recorded. Results: A total of 86 cases from 54 patients (53.7% pediatric; age range: 0–81 years) were included. Common indications included trauma (36%), infection (18.6%), and malignancy (11.6%). BTM was placed over exposed tendon (38.4%), bone (19%), joints (12.8%), nerves (8.1%), and/or blood vessels (7%). BTM served as temporary wound coverage in 26 cases. Complications included hematoma (8.1%), infection (4.7%), and spontaneous delamination (4.7%). Wound closure was successfully obtained without flap use in 93.3%. Poor BTM take was associated with peripheral vascular disease, hypertension, immunosuppression, and BTM hematoma and infection (<0.05). Conclusion: This study contributes to the growing body of evidence favoring BTM use in challenging reconstructive cases. Although prospective comparative studies are forthcoming, BTM likely has broad applications in reconstructive surgery.

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Section: Introductionmentioning

confidence: 99%

Outcomes of Biodegradable Temporizing Matrix for Soft Tissue Reconstruction of the Hand and Extremities

Struble,

Patel,

Graham

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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“…Over time, the reconstructive ladder has been expanded, altered, and reshaped in an attempt to incorporate increasingly complex, modern reconstructive approaches. [7][8][9][10][11][12][13] Whether climbing an expanded ladder, riding the elevator, or navigating a matrix or supermarket, clinical application of these procedurally-based frameworks is plagued by the lack of conceptual guidance necessary to compare reconstructive strategies or optimize the selected surgical technique. For example, it is common for surgeons to take the "reconstructive elevator" to the top floor, by selecting a complex microsurgical procedure, only to go through the "wrong door" by selecting a reconstruction that fails to adequately meet the needs of the defect.…”

mentioning

confidence: 99%

The Hierarchy of Needs: A Problem-based Framework for Extremity Reconstruction

Kareh,

Souza

2024

Plastic and Reconstructive Surgery - Global Open

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Summary: Plastic and reconstructive surgeons continually evolve their surgical strategies with the aim of achieving the optimal patient outcome. Numerous well-known frameworks intended to guide reconstructive planning have been introduced and are entrenched in plastic surgery education, but are limited in their scope due to their procedure-based construct. Here, we introduce the hierarchy of reconstructive needs: a problem-based reconstructive framework that shifts operative planning to the specific needs of the defect and goals for restoration of normality while allowing for further innovation and evolution beyond our existing surgical capabilities.

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Commentary on “Augmented Skin Grafting: A New Rung in the Reconstructive Ladder” by Landeen et al: Less Invasive Options for Patients with Significant Comorbidities

Morisada

Tollefson

2022

Facial Plastic Surgery & Aesthetic Medicine

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Augmented Skin Grafting: A New Rung in the Reconstructive Ladder

Cited by 4 publications

References 17 publications

Outcomes of Biodegradable Temporizing Matrix for Soft Tissue Reconstruction of the Hand and Extremities

Outcomes of Biodegradable Temporizing Matrix for Soft Tissue Reconstruction of the Hand and Extremities

The Hierarchy of Needs: A Problem-based Framework for Extremity Reconstruction

Commentary on “Augmented Skin Grafting: A New Rung in the Reconstructive Ladder” by Landeen et al: Less Invasive Options for Patients with Significant Comorbidities

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