Post-Burn Skin Deformities of the Face and Neck Region in Pediatric Patients: Single-Stage Treatment Using Collagen Elastin Matrix
Objective: Treating severe post-burn deformities of the face and neck region in pediatric populations is challenging because of technical difficulties (e.g., limited full thickness skin graft donor site, limited flap options, unavailability for expander placement) and increased donor site morbid...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-09-01
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| Series: | Turkish Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://turkjplastsurg.org/sayilar/82/buyuk/126-131.pdf |
| _version_ | 1797924358407061504 |
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| author | Çağlayan Yağmur Nuh Evin Murat Sinan Engin Tekin Şimşek İsmail Küçüker Ahmet Demir |
| author_facet | Çağlayan Yağmur Nuh Evin Murat Sinan Engin Tekin Şimşek İsmail Küçüker Ahmet Demir |
| author_sort | Çağlayan Yağmur |
| collection | DOAJ |
| description | Objective: Treating severe post-burn deformities of the face and
neck region in pediatric populations is challenging because of
technical difficulties (e.g., limited full thickness skin graft donor
site, limited flap options, unavailability for expander placement)
and increased donor site morbidity (e.g., related to flap and graft
donor sites). In this study, we present the single-stage treatment
of severe post-burn skin deformities of the face and neck region in
pediatric patients using collagen-elastin matrix (Matriderm®) combined
with partial thickness skin grafts.
Material and Methods: The total number of cases was eight
(four females, four males), and the ages were between two and
11 years. All cases were operated on for only one region. Following
the release of contractures and/or excision of wide excessive/
unfavorable dermal scars, defects were reconstructed using collagen-
elastin matrix (Matriderm®) combined with partial-thickness
skin grafts. The final functional and aesthetic results were evaluated
using photography and examination.
Results: The deformities were in the form of contractures and/
or excessive dermal scarring. The involved regions were the face
(n=3) and neck (n=5). The grafts yielded favorable plication and
texture, and no recurrence of excessive dermal scarring was observed.
All contractures healed unproblematically. Two patients
were re-operated on for regrafting caused by minor graft loss (5%
and 12% of the total area, respectively).
Conclusion: In this study, we observed that collagen elastin matrix
combined with partial-thickness skin grafts provides a favorable
option for the treatment of pediatric late post-burn complications
in the face and neck region with limited surgical options. |
| first_indexed | 2024-04-10T15:00:14Z |
| format | Article |
| id | doaj.art-be3d17c919fe4f6ba5227fddcaa5fd8a |
| institution | Directory Open Access Journal |
| issn | 2528-8644 |
| language | English |
| last_indexed | 2024-04-10T15:00:14Z |
| publishDate | 2017-09-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Turkish Journal of Plastic Surgery |
| spelling | doaj.art-be3d17c919fe4f6ba5227fddcaa5fd8a2023-02-15T16:07:06ZengWolters Kluwer Medknow PublicationsTurkish Journal of Plastic Surgery2528-86442017-09-0125312613110.5152/TurkJPlastSurg.2017.2161Post-Burn Skin Deformities of the Face and Neck Region in Pediatric Patients: Single-Stage Treatment Using Collagen Elastin MatrixÇağlayan Yağmur0Nuh Evin1Murat Sinan Engin2Tekin Şimşek3İsmail Küçüker4Ahmet Demir5Department of Plastic, Reconstructive and Aesthetic Surgery, Ondokuz Mayıs University School of Medicine, Samsun, TurkeyDepartment of Plastic, Reconstructive and Aesthetic Surgery, Selçuk University School of Medicine Konya, TurkeyDepartment of Plastic, Reconstructive and Aesthetic Surgery, Ondokuz Mayıs University School of Medicine, Samsun, TurkeyDepartment of Plastic, Reconstructive and Aesthetic Surgery, Ondokuz Mayıs University School of Medicine, Samsun, TurkeyDepartment of Plastic, Reconstructive and Aesthetic Surgery, Ondokuz Mayıs University School of Medicine, Samsun, TurkeyDepartment of Plastic, Reconstructive and Aesthetic Surgery, Ondokuz Mayıs University School of Medicine, Samsun, TurkeyObjective: Treating severe post-burn deformities of the face and neck region in pediatric populations is challenging because of technical difficulties (e.g., limited full thickness skin graft donor site, limited flap options, unavailability for expander placement) and increased donor site morbidity (e.g., related to flap and graft donor sites). In this study, we present the single-stage treatment of severe post-burn skin deformities of the face and neck region in pediatric patients using collagen-elastin matrix (Matriderm®) combined with partial thickness skin grafts. Material and Methods: The total number of cases was eight (four females, four males), and the ages were between two and 11 years. All cases were operated on for only one region. Following the release of contractures and/or excision of wide excessive/ unfavorable dermal scars, defects were reconstructed using collagen- elastin matrix (Matriderm®) combined with partial-thickness skin grafts. The final functional and aesthetic results were evaluated using photography and examination. Results: The deformities were in the form of contractures and/ or excessive dermal scarring. The involved regions were the face (n=3) and neck (n=5). The grafts yielded favorable plication and texture, and no recurrence of excessive dermal scarring was observed. All contractures healed unproblematically. Two patients were re-operated on for regrafting caused by minor graft loss (5% and 12% of the total area, respectively). Conclusion: In this study, we observed that collagen elastin matrix combined with partial-thickness skin grafts provides a favorable option for the treatment of pediatric late post-burn complications in the face and neck region with limited surgical options.http://turkjplastsurg.org/sayilar/82/buyuk/126-131.pdfBurnscollagen elastin matrixpediatric burnsskin graft |
| spellingShingle | Çağlayan Yağmur Nuh Evin Murat Sinan Engin Tekin Şimşek İsmail Küçüker Ahmet Demir Post-Burn Skin Deformities of the Face and Neck Region in Pediatric Patients: Single-Stage Treatment Using Collagen Elastin Matrix Turkish Journal of Plastic Surgery Burns collagen elastin matrix pediatric burns skin graft |
| title | Post-Burn Skin Deformities of the Face and Neck Region in Pediatric Patients: Single-Stage Treatment Using Collagen Elastin Matrix |
| title_full | Post-Burn Skin Deformities of the Face and Neck Region in Pediatric Patients: Single-Stage Treatment Using Collagen Elastin Matrix |
| title_fullStr | Post-Burn Skin Deformities of the Face and Neck Region in Pediatric Patients: Single-Stage Treatment Using Collagen Elastin Matrix |
| title_full_unstemmed | Post-Burn Skin Deformities of the Face and Neck Region in Pediatric Patients: Single-Stage Treatment Using Collagen Elastin Matrix |
| title_short | Post-Burn Skin Deformities of the Face and Neck Region in Pediatric Patients: Single-Stage Treatment Using Collagen Elastin Matrix |
| title_sort | post burn skin deformities of the face and neck region in pediatric patients single stage treatment using collagen elastin matrix |
| topic | Burns collagen elastin matrix pediatric burns skin graft |
| url | http://turkjplastsurg.org/sayilar/82/buyuk/126-131.pdf |
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