Treatment of Necrotizing Fasciitis With NovoSorb Biodegradable Temporizing Matrix and RECELL Autologous Skin Cell Suspension: A Case Series

J Burn Care Res. 2024 Mar 4;45(2):528-532. doi: 10.1093/jbcr/irad192.

Abstract

This case series reviews the management of 2 patients who developed a rare, aggressive soft tissue infection, necrotizing fasciitis treated with a synthetic polyurethane dermal regenerative template, Biodegradable Temporizing Matrix (NovoSorb BTM) in conjunction with an off-label use of RECELL device applying autologous skin cell suspension and a split-thickness skin graft for reconstruction. The clinical relevance describes a non-traditional patient's course of treatment and clinical outcome using BTM and RECELL for necrotizing fasciitis. The 2 patients survived with acceptable outcomes and timely healing despite a high chance of mortality and likely amputation secondary to the extensive surface area and anatomical location of the infection.

Keywords: BTM; RECELL; autologous skin cell suspension; biodegradable temporizing matrix; necrotizing fasciitis.

MeSH terms

  • Burns* / therapy
  • Fasciitis, Necrotizing* / surgery
  • Humans
  • Polyurethanes
  • Skin
  • Skin Transplantation

Substances

  • NovoSorb
  • Polyurethanes