Acellular Dermal Matrix: Treating Periocular Melanoma in a Patient with Xeroderma Pigmentosa
We report a 7-year-old girl with xeroderma pigmentosum (XP), who presented in our clinic with a large melanoma (35 × 50 × 20 mm, Breslow depth 18 mm) in the zygomatic-malar area. Palliative surgery was performed to maintain her residual vision and to reduce the pain caused by the compression of loca...
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Format: | Article |
Language: | English |
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Wolters Kluwer
2017-08-01
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Series: | Plastic and Reconstructive Surgery, Global Open |
Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001442 |
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author | Kamlen Pillay, MBChB Saleigh Adams, MBChB, FC Plast Surg Laura Vandermaesen, MD Donald Anthony Hudson, MBChB, MMed, FRCS |
author_facet | Kamlen Pillay, MBChB Saleigh Adams, MBChB, FC Plast Surg Laura Vandermaesen, MD Donald Anthony Hudson, MBChB, MMed, FRCS |
author_sort | Kamlen Pillay, MBChB |
collection | DOAJ |
description | We report a 7-year-old girl with xeroderma pigmentosum (XP), who presented in our clinic with a large melanoma (35 × 50 × 20 mm, Breslow depth 18 mm) in the zygomatic-malar area. Palliative surgery was performed to maintain her residual vision and to reduce the pain caused by the compression of local structures. Because of the limited access of autologous skin grafts in pediatric patients with XP who are severely affected, we opted to use an acellular dermal matrix. There was 100% graft uptake, and the pain due to compression by the tumor was alleviated. This case demonstrates that acellular dermal matrices can be safely and effectively used in oncological facial reconstruction, especially in patients with progressive conditions such as XP. |
first_indexed | 2024-12-10T23:46:58Z |
format | Article |
id | doaj.art-1b164e26c4744e2198acbc8dbe19a00c |
institution | Directory Open Access Journal |
issn | 2169-7574 |
language | English |
last_indexed | 2024-12-10T23:46:58Z |
publishDate | 2017-08-01 |
publisher | Wolters Kluwer |
record_format | Article |
series | Plastic and Reconstructive Surgery, Global Open |
spelling | doaj.art-1b164e26c4744e2198acbc8dbe19a00c2022-12-22T01:28:53ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742017-08-0158e144210.1097/GOX.0000000000001442201708000-00018Acellular Dermal Matrix: Treating Periocular Melanoma in a Patient with Xeroderma PigmentosaKamlen Pillay, MBChB0Saleigh Adams, MBChB, FC Plast Surg1Laura Vandermaesen, MD2Donald Anthony Hudson, MBChB, MMed, FRCS3From the Department of Plastic and Reconstructive Surgery, University of Cape Town, South Africa.From the Department of Plastic and Reconstructive Surgery, University of Cape Town, South Africa.From the Department of Plastic and Reconstructive Surgery, University of Cape Town, South Africa.From the Department of Plastic and Reconstructive Surgery, University of Cape Town, South Africa.We report a 7-year-old girl with xeroderma pigmentosum (XP), who presented in our clinic with a large melanoma (35 × 50 × 20 mm, Breslow depth 18 mm) in the zygomatic-malar area. Palliative surgery was performed to maintain her residual vision and to reduce the pain caused by the compression of local structures. Because of the limited access of autologous skin grafts in pediatric patients with XP who are severely affected, we opted to use an acellular dermal matrix. There was 100% graft uptake, and the pain due to compression by the tumor was alleviated. This case demonstrates that acellular dermal matrices can be safely and effectively used in oncological facial reconstruction, especially in patients with progressive conditions such as XP.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001442 |
spellingShingle | Kamlen Pillay, MBChB Saleigh Adams, MBChB, FC Plast Surg Laura Vandermaesen, MD Donald Anthony Hudson, MBChB, MMed, FRCS Acellular Dermal Matrix: Treating Periocular Melanoma in a Patient with Xeroderma Pigmentosa Plastic and Reconstructive Surgery, Global Open |
title | Acellular Dermal Matrix: Treating Periocular Melanoma in a Patient with Xeroderma Pigmentosa |
title_full | Acellular Dermal Matrix: Treating Periocular Melanoma in a Patient with Xeroderma Pigmentosa |
title_fullStr | Acellular Dermal Matrix: Treating Periocular Melanoma in a Patient with Xeroderma Pigmentosa |
title_full_unstemmed | Acellular Dermal Matrix: Treating Periocular Melanoma in a Patient with Xeroderma Pigmentosa |
title_short | Acellular Dermal Matrix: Treating Periocular Melanoma in a Patient with Xeroderma Pigmentosa |
title_sort | acellular dermal matrix treating periocular melanoma in a patient with xeroderma pigmentosa |
url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001442 |
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