Chia Jake, Vandervord Elle, Seyedabadi Maryam
From Department of Plastic and Reconstructive Surgery, Westmead Hospital, Sydney, Australia.
Plast Reconstr Surg Glob Open. 2024 Apr 8;12(4):e5726. doi: 10.1097/GOX.0000000000005726. eCollection 2024 Apr.
The reconstruction choice of scrotal defects after Fournier gangrene has been routinely based on the reconstructive ladder. Defects are usually managed with either skin-grafting or regional flaps to achieve testicular coverage. However, skin grafting done directly to testes may lead to chronic pain issues, and skin flaps can potentially be too thick to achieve good temperature control for spermatogenesis. We present the first reported case of total scrotal resurfacing after Fournier gangrene in a 48-year-old patient with NovoSorb Biodegradable Temporizing Matrix. The patient showed a good cosmetic outcome with no residual pain issues. Further research is recommended to further investigate the long-term effects of scrotal reconstruction with Biodegradable Temporizing Matrix.
Fournier坏疽后阴囊缺损的重建选择通常基于重建阶梯原则。缺损通常采用植皮或局部皮瓣进行处理,以实现对睾丸的覆盖。然而,直接在睾丸上进行植皮可能会导致慢性疼痛问题,而皮瓣可能过厚,无法为精子发生提供良好的温度控制。我们报告了首例使用NovoSorb生物可降解临时基质对一名48岁Fournier坏疽患者进行全阴囊表面重建的病例。该患者获得了良好的美容效果,且无残留疼痛问题。建议进一步研究以深入探讨使用生物可降解临时基质进行阴囊重建的长期效果。