Dell'Aversana Orabona Giovanni, Maffia Francesco, Audino Giovanni, Abbate Vincenzo, Germano Cristiana, Bonavolontà Paola, Romano Antonio, Villari Riccardo, Mormile Mauro, Califano Luigi
Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II, Via Pansini 5, 80100 Naples, Italy.
Infectious Diseases Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, 80131 Naples, Italy.
J Clin Med. 2022 Oct 13;11(20):6041. doi: 10.3390/jcm11206041.
The scalp region represent a common area affected by benignant and malignant skin tumor, and it represents a surgical challenge when it is needed to be reconstructed. The aim of this study is to present our experience with full-thickness scalp skin defects, reconstructed using Matriderm dermal substitute and split-thickness skin graft (STSG).
A retrospective analysis of patients treated for scalp region reconstruction was conducted with 16 patients. All patients underwent the same procedure: scalp full-thickness tumor excision with simultaneous reconstruction with Matriderm and the application of a split-thickness skin graft in the same surgical time. During follow-ups, the surgical outcome was evaluated by accurate clinical examination of the wound, adopting the Vancouver Scar Scale (VSS).
The outcomes obtained were satisfying: wound healing at the end of the procedures was optimal, grafted skin resulted similar to surrounding tissue, and pigmentation and vascularity showed a decrease in the period between 6 months and 1 follow-up.
The use of Matriderm and split-thickness skin grafting for scalp full-thickness defects reconstruction resulted in an optimal, stable, and safe procedure, suitable for elderly patients.
头皮区域是良性和恶性皮肤肿瘤的常见发病部位，在需要进行重建时是一项手术挑战。本研究的目的是介绍我们使用Matriderm真皮替代物和断层皮片移植（STSG）修复全层头皮皮肤缺损的经验。
对16例接受头皮区域重建治疗的患者进行回顾性分析。所有患者均接受相同的手术：在同一手术时间内进行头皮全层肿瘤切除，同时用Matriderm进行重建并应用断层皮片移植。在随访期间，采用温哥华瘢痕量表（VSS）通过对伤口进行准确的临床检查来评估手术效果。
获得的结果令人满意：手术结束时伤口愈合良好，移植皮肤与周围组织相似，色素沉着和血管分布在6个月至1年的随访期间有所减轻。
使用Matriderm和断层皮片移植修复全层头皮缺损是一种最佳、稳定且安全的手术方法，适用于老年患者。
