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Cirugía Plástica Ibero-Latinoamericana
versión On-line ISSN 1989-2055versión impresa ISSN 0376-7892
Resumen
GOMEZ MORELL, P. A. y PALAO DOMENECH, R.. Use of Integra® dermal regeneration template in deep tissue planes for contour defects treatment. Cir. plást. iberolatinoam. [online]. 2007, vol.33, n.3, pp.195-199. ISSN 1989-2055.
In the treatment of body contour defects we can use many biological and synthetic products. They have many inconvenient effects as variable reabsortion, intolerance, infection, granulomas, calcification, etc. In moderate defects, the authors propose the use of modificated Integra® dermal regeneration template without the superficial silicone layer. Two patients are reported, one with a traumatic frontal defect and another with a depression in the anterior thorax after postmastectomy breast reconstruction post mastectomy. In both we put Integra® into a subcutaneous pocket and we bent it to increase lamina volume. Results are predictable, permanent, with minimal reabsortion after 6 and 12 months follow up. Integra® will be autologous neodermis. The authors recommend the dermal regeneration template for small or medium defects; in large defects they prefer autologous flaps with or without prosthesis.
Palabras clave : Tissular regeneration; Biomaterials; Body contour defects.