Management of complex scalp defects after excision of malignant tumors
Introduction: Scalp reconstruction after cancer resection remains a challenge for surgeons, especially considering the increasing incidence of skin cancer among elderly patients. Dermal matrix (DM) is a heterogeneous group of wound covering materials that aid in wound closure and replace so...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2022-12-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/3214/en_v37n4a16.pdf |
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| author | Ana Carolina Vasconcellos Guedes Otsuka Ivan Dunshee de Abranches Oliveira Santos Mariane Campagnari Matheus de Melo Lobo Eduardo Bertolli Renata Otoni Neiva Fernanda Sulian de Carvalho Joao Pedreira Duprat |
| author_facet | Ana Carolina Vasconcellos Guedes Otsuka Ivan Dunshee de Abranches Oliveira Santos Mariane Campagnari Matheus de Melo Lobo Eduardo Bertolli Renata Otoni Neiva Fernanda Sulian de Carvalho Joao Pedreira Duprat |
| author_sort | Ana Carolina Vasconcellos Guedes Otsuka |
| collection | DOAJ |
| description | Introduction:
Scalp reconstruction after cancer resection remains a challenge for surgeons, especially considering the increasing incidence of skin cancer among elderly patients. Dermal matrix (DM) is a heterogeneous group of wound covering materials that aid in wound closure and replace some of the skins functions, either temporarily or permanently. Patients at higher surgical risk can benefit from the use of DM, which help to generate a new dermis, offering great improvements in coverage of complex and extensive defects
Methods:
It is a retrospective study with analysis of medical records and report of two cases of patients at the A.C.Camargo Cancer Center-SP, Brazil.
Results:
We report two cases of complex and extensive scalp defects at a single center using DM associated with skin grafting and negative pressure therapy (NPT) in reconstructive surgery after resection of malignant skin neoplasm with satisfactory functional and esthetic results.
Conclusions:
Extensive lesions of the scalp are a challenge in clinical practice and a multidisciplinary treatment is essential. The results obtained indicate that DM associated with partial skin grafting and NPT have enormous potential to increase the therapeutic options available to the surgeon and possibly benefit patients, especially those who do not have the clinical conditions for extensive coverage surgery with microsurgical flap. |
| format | Article |
| id | doaj-art-003473a22c6347bd95338f3ce16129aa |
| institution | DOAJ |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-003473a22c6347bd95338f3ce16129aa2025-08-20T03:16:19ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352022-12-01370449449710.5935/2177-1235.2022RBCP.627-enManagement of complex scalp defects after excision of malignant tumorsAna Carolina Vasconcellos Guedes Otsuka0Ivan Dunshee de Abranches Oliveira Santos1Mariane Campagnari2Matheus de Melo Lobo3Eduardo Bertolli4Renata Otoni Neiva5Fernanda Sulian de Carvalho6Joao Pedreira Duprat7ACCamargo Cancer Center, Cirurgia plástica, São Paulo, SP, BrazilACCamargo Cancer Center, Departamento de Câncer de Pele, São Paulo, SP, BrazilACCamargo Cancer Center, Departamento de Câncer de Pele, São Paulo, SP, BrazilACCamargo Cancer Center, Departamento de Câncer de Pele, São Paulo, SP, BrazilACCamargo Cancer Center, Departamento de Câncer de Pele, São Paulo, SP, BrazilACCamargo Cancer Center, Ambulatório de curativo- Enfermagem, São Paulo, SP, BrazilACCamargo Cancer Center, Ambulatório de curativo- Enfermagem, São Paulo, SP, BrazilACCamargo Cancer Center, Departamento de Câncer de Pele, São Paulo, SP, BrazilIntroduction: Scalp reconstruction after cancer resection remains a challenge for surgeons, especially considering the increasing incidence of skin cancer among elderly patients. Dermal matrix (DM) is a heterogeneous group of wound covering materials that aid in wound closure and replace some of the skins functions, either temporarily or permanently. Patients at higher surgical risk can benefit from the use of DM, which help to generate a new dermis, offering great improvements in coverage of complex and extensive defects Methods: It is a retrospective study with analysis of medical records and report of two cases of patients at the A.C.Camargo Cancer Center-SP, Brazil. Results: We report two cases of complex and extensive scalp defects at a single center using DM associated with skin grafting and negative pressure therapy (NPT) in reconstructive surgery after resection of malignant skin neoplasm with satisfactory functional and esthetic results. Conclusions: Extensive lesions of the scalp are a challenge in clinical practice and a multidisciplinary treatment is essential. The results obtained indicate that DM associated with partial skin grafting and NPT have enormous potential to increase the therapeutic options available to the surgeon and possibly benefit patients, especially those who do not have the clinical conditions for extensive coverage surgery with microsurgical flap.http://www.rbcp.org.br/export-pdf/3214/en_v37n4a16.pdfskinartificialwound healingnegative-pressure wound therapyscalpskin neoplasms. |
| spellingShingle | Ana Carolina Vasconcellos Guedes Otsuka Ivan Dunshee de Abranches Oliveira Santos Mariane Campagnari Matheus de Melo Lobo Eduardo Bertolli Renata Otoni Neiva Fernanda Sulian de Carvalho Joao Pedreira Duprat Management of complex scalp defects after excision of malignant tumors Revista Brasileira de Cirurgia Plástica skin artificial wound healing negative-pressure wound therapy scalp skin neoplasms. |
| title | Management of complex scalp defects after excision of malignant tumors |
| title_full | Management of complex scalp defects after excision of malignant tumors |
| title_fullStr | Management of complex scalp defects after excision of malignant tumors |
| title_full_unstemmed | Management of complex scalp defects after excision of malignant tumors |
| title_short | Management of complex scalp defects after excision of malignant tumors |
| title_sort | management of complex scalp defects after excision of malignant tumors |
| topic | skin artificial wound healing negative-pressure wound therapy scalp skin neoplasms. |
| url | http://www.rbcp.org.br/export-pdf/3214/en_v37n4a16.pdf |
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