Single-stage full-depth scalp reconstruction with Matriderm®: a clinical case report and a brief literature review

Figures & data

Figure 1. BCC in Vertex of the head.

Figure 2. Split-thickness skin graft.

Figure 3. Recurrence of BCC.

Figure 4. Tissue expanders and Matriderm® applied.

Figure 5. Rejection of expanders.

Figure 6. Deploy burring.

Figure 7. Application of Matriderm®.

Figure 8. Four months Matriderm® placement.

Figure 9. Flowchart of literature’s systematic review search results.

Table 1. Publications mentioning reconstruction of full-depth scalp deficits using only DRTs in the literature.

Authors	DRT used	Size of deficit	Cause of deficit	Follow up Duration	Number of cases	Sex (M/F)	Comorbidities	Age
Vithlani et al. [11]	Integra®	96.7 cm^2	SCC & Melanoma	14 months	1	M	N/M	87
Romano et al. [12]	Integra®	–	Spinocellular carcinoma	5 - 7 months	3	N/M	Cardiolovascular problems	76-96
Burd et al. [13]	Integra®	2.85 cm^2	SCC	23 months	1	M	N/M	86
Singer et al. [14]	Integra®	50 cm^2	Trauma	N/M	1	M	–	7
Gironi et al. [15]	N/M	25.1 cm^2	BCC	2 months	1	F	General status	75
Xianghong Lou et al. [10]	Pelnac®	12.5 cm^2	Trauma	5 months	1	F	–	4

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Singer M, Korsh J, Predun W, et al. A novel use of Integra™ bilayer matrix wound dressing on a pediatric scalp avulsion: a case report. Eplasty. 2015;15:e8. PubMed Central PMCID: PMC4358336.

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Gironi LC, Boggio P, Colombo E. Reconstruction of scalp defects with exposed bone after surgical treatment of basal cell carcinoma: the use of a bilayer matrix wound dressing. Dermatol Ther. 2015;28(3):114–117. doi:10.1111/dth.12193.

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Lou X, Xue H, Li G, et al. One-stage pelnac reconstruction in full-thickness skin defects with bone or tendon exposure. Plast Reconstr Surg Glob Open. 2018;6(3):e1709. doi:10.1097/gox.0000000000001709.

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