The use of MATRIDERMⓇ as a single stage salvage procedure to cover exposed dura Mater

Julien Coulie; Alexander Gerdom; Theodoros Chrelias; Benoît Lengelé; Maude Coyette

doi:10.1016/j.jpra.2020.09.009

The use of MATRIDERM^Ⓡ as a single stage salvage procedure to cover exposed dura Mater

JPRAS Open. 2020 Nov 30:27:53-57. doi: 10.1016/j.jpra.2020.09.009. eCollection 2021 Mar.

Authors

Julien Coulie¹, Alexander Gerdom¹, Theodoros Chrelias¹, Benoît Lengelé¹, Maude Coyette¹

Affiliation

¹ Department of Plastic and Reconstructive Surgery, Cliniques Universitaires Saint-Luc, UCLouvain, Avenue Hippocrates 10, B-1200 Bruxelles, Belgium.

Abstract

Reconstruction of large full-thickness scalp defects with exposed cranial bone or dura are usually performed with free flaps. However, certain medical conditions in fragile patients may contraindicate this type of surgery. In those circumstances, Dermal Regeneration Templates (DRTs) can provide an alternative solution to flap surgery. We here report the case of a 79-year old woman presenting with a large cranial defect and exposed dura mater after developing postsurgical Pyoderma Gangrenosum and subsequent free flap failure. A one-stage salvage reconstruction was successfully performed with MATRIDERM^Ⓡ (MedSkin Solutions Dr. Suwelack AG, Germany) and a split-thickness skin graft (STSG) with a Vacuum-Assisted Closure (VAC) dressing.

Keywords: Acellular dermal matrix; Dura mater exposure; MatridermⓇ; Pyoderma grangrenosum; Salvage procedure; Scalp reconstruction.

Publication types

Case Reports