Snowflake Amniotic Membrane in Scalp Reconstruction for Pitbull Bite.

Autor: Treger D; University of Miami Leonard M. Miller School of Medicine., Sturm S; University of Miami Leonard M. Miller School of Medicine., Thaller SR; Dewitt Daughtry Department of Surgery, Division of Plastic Surgery, University of Miami Hospital.
Jazyk: angličtina
Zdroj: The Journal of craniofacial surgery [J Craniofac Surg] 2024 Oct 01; Vol. 35 (7), pp. e660-e662. Date of Electronic Publication: 2024 Jul 17.
DOI: 10.1097/SCS.0000000000010475
Abstrakt: Amniotic membrane, derived from the innermost placenta, is widely employed in surgery to help regenerate soft tissue and promote re-epithelialization. The authors detail a case report of a 59-year-old female who presented with a large, full-thickness scalp avulsion injury (13 × 10 cm) after being attacked by her pet pitbull. Innovative application of "snowflake" or fragmented amniotic membrane to her wound bed was used during both stages of scalp reconstruction: irrigation and debridement with Integra biological membrane placement and later split-thickness skin grafting. The patient had an uncomplicated recovery with a satisfactory cosmetic outcome. The authors believe that the "snowflake" application of amniotic membrane played an important role in forming healthy granulation tissue and optimizing the wound bed for definitive coverage. "Snowflake" amniotic membrane may help maximize its mechanical and biological benefits and holds promise to be an important adjunctive treatment for surgical wound healing.
Competing Interests: Dr S.T. reports receiving book royalties from Spring & Thieme Publishers. The remaining authors report no conflicts of interest.
(Copyright © 2024 by Mutaz B. Habal, MD.)
Databáze: MEDLINE