1/2. Application of artificial dermis prior to full-thickness skin grafting for resurfacing the nose.Two patients with nasal skin defects resulting from excision of rhinophyma and multiple angiofibromas were treated with artificial dermis followed by full-thickness skin grafts taken from the postauricular region. The secondary skin grafts took completely in both patients, and the postoperative results were excellent. Although a two-stage operation is required, application of artificial dermis prior to full-thickness skin grafting is a reliable method for resurfacing the nose.- - - - - - - - - - ranking = 1keywords = dermis (Clic here for more details about this article) |
2/2. rhinophyma: treatment with electrocautery and silver-impregnated porcine xenograft.A typical case of advanced rhinophyma is reported. Partial excision reduced the size of the nose by two-thirds, leaving a thin layer of dermis. This was covered with silver-impregnated porcine xenograft, which allowed efficient drainage and remained adherent in its initial application for 2 weeks. A total of four applications of silver-impregnated porcine xenografts--the last two involving only very small areas--were required for complete epithelialization at 5 weeks after surgery. We believe that this xenograft is an ideal dressing for wounds resulting from partial excision of rhinophymatous tissue, providing the beneficial effects of biological dressings, including the hemostatic effects of collagen with the added benefit of silver's potent antibacterial properties. silver-impregnated porcine xenograft reduces patient discomfort and results in rapid healing with excellent cosmetic results.- - - - - - - - - - ranking = 0.16666666666667keywords = dermis (Clic here for more details about this article) |