The Use of the PlasmaBlade and Acellular Dermal Matrix in Rhinophyma Surgery

Özkan, Adem; Topkara, Adem; Özcan, Ramazan Hakan; Şentürk, Sadık

doi:10.1177/1203475415612422

Cited by 7 publications

(11 citation statements)

References 6 publications

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“…ADMs have been used in craniofacial surgery to treat soft-tissue defects secondary to congenital conditions, disease and surgical wounds. 142 – 150 In aplasia cutis congenita (ACC), ADMs have shown utility both as an adjunct to grafting and as a conservative treatment for scalp coverage. 142 , 143 …”

Section: Resultsmentioning

confidence: 99%

Clinical applications of acellular dermal matrices: A review

Petrie

Cox

Becker

2022

Scars, Burns & Healing

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Introduction The extracellular matrix (ECM) plays an integral role in wound healing. It provides both structure and growth factors that allow for the organised cell proliferation. Large or complex tissue defects may compromise host ECM, creating an environment that is unfavourable for the recovery of anatomical function and appearance. Acellular dermal matrices (ADMs) have been developed from a variety of sources, including human (HADM), porcine (PADM) and bovine (BADM), with multiple different processing protocols. The objective of this report is to provide an overview of current literature assessing the clinical utility of ADMs across a broad spectrum of applications. Methods PubMed, MEDLINE, EMBASE, Scopus, Cochrane and Web of Science were searched using keywords ‘acellular dermal matrix’, ‘acellular dermal matrices’ and brand names for commercially available ADMs. Our search was limited to English language articles published from 1999 to 2020 and focused on clinical data. Results A total of 2443 records underwent screening. After removing non-clinical studies and correspondence, 222 were assessed for eligibility. Of these, 170 were included in our synthesis of the literature. While the earliest ADMs were used in severe burn injuries, usage has expanded to a number of surgical subspecialties and procedures, including orthopaedic surgery (e.g. tendon and ligament reconstructions), otolaryngology, oral surgery (e.g. treating gingival recession), abdominal wall surgery (e.g. hernia repair), plastic surgery (e.g. breast reconstruction and penile augmentation), and chronic wounds (e.g. diabetic ulcers). Conclusion Our understanding of ADM’s clinical utility continues to evolve. More research is needed to determine which ADM has the best outcomes for each clinical scenario. Lay Summary Large or complex wounds present unique reconstructive and healing challenges. In normal healing, the extracellular matrix (ECM) provides both structural and growth factors that allow tissue to regenerate in an organised fashion to close the wound. In difficult or large soft-tissue defects, however, the ECM is often compromised. Acellular dermal matrix (ADM) products have been developed to mimic the benefits of host ECM, allowing for improved outcomes in a variety of clinical scenarios. This review summarises the current clinical evidence regarding commercially available ADMs in a wide variety of clinical contexts.

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Section: Resultsmentioning

confidence: 99%

Clinical applications of acellular dermal matrices: A review

Petrie

Cox

Becker

2022

Scars, Burns & Healing

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“…A variety of other surgical interventions, such as the ultrasonic scalpel, disposable razor, PlasmaBlade, Versajet, or a combination of existing techniques, have also been attempted. However, there is no gold standard technique, and several factors, including size and location of the lesion, hemostasis, scar formation, procedure duration, and cost associated with each instrument must be taken into consideration [3,[8][9][10][11].…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of rhinophyma using an ordinary bur

Kang

Lee

Choi

et al. 2020

Arch Craniofac Surg

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Rhinophyma is a painless benign tumor of the skin of the nose. It is the most severe form of rosacea. Rhinophyma is particularly rare among Asians. It can be treated with surgical resection using various methods, including scalpel excision, dermabrasion, cryosurgery, argon laser, carbon dioxide laser, and electrocautery. However, the gold standard treatment of rhinophyma remains unknown. In the present case, we debulked a giant rhinophyma with a scalpel and contoured it using a bur. Along with a relevant literature review, we present a case of rhinophyma in an Asian patient who was treated at no additional cost using a bur widely used in general plastic surgery.

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“…Recently, some authors proposed ADM also for nasal reconstruction after rhinophyma surgery. In 2013 Selig et al described 5 cases of rhinophyma successfully treated by full-thickness excision and 1-step reconstruction by using Matriderm® and split-thickness skin graft [11]. In 2015 Özkan et al reported another case of rhinophyma treated with an electrosurgical device (PlasmaBlade) and single stage reconstruction with Matriderm® and split-thickness skin graft [12].…”

Section: Discussionmentioning

confidence: 99%

“…Despite this large number of available techniques, total eradication is still considered in case of infiltrating rhinophyma, in the fibrous variant or rhinophyma with underlying skin cancer, and usually requires flap coverage or skin grafts [5]. In the last decade, some authors proposed the use of dermal substitutes for rhinophyma surgery, but only few case reports have been described throughout the Literature [[9], [10], [11]]. We described a new case of severe and disfiguring rhinophyma treated by total excision and acellular dermal matrix (ADM)-based reconstruction, with a 12-months postoperative follow-up.…”

Section: Introductionmentioning

confidence: 99%

Acellular dermal matrix for rhinophyma: Is it worth it? A new case report and review of literature

Torresetti

Scalise

Benedetto

2019

International Journal of Surgery Case Reports

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Highlights Final thickness of the neodermis after ADM application is unpredictable. ADM should be restricted to large lesions involving more than one half of the nose. For smaller rhinophyma, or lesions of the nasal tip, flap surgery is suggested. Excision should be performed as wide as possible on the healthy tissue. Lipofilling after ADM reconstruction should be often considered.

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The Use of the PlasmaBlade and Acellular Dermal Matrix in Rhinophyma Surgery

Cited by 7 publications

References 6 publications

Clinical applications of acellular dermal matrices: A review

Clinical applications of acellular dermal matrices: A review

Surgical treatment of rhinophyma using an ordinary bur

Acellular dermal matrix for rhinophyma: Is it worth it? A new case report and review of literature

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