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Chirurgia 2018 August;31(4):129-38

DOI: 10.23736/S0394-9508.17.04727-1

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Surgical oral defects: proposal for a new solution

Luigi CELLA 1, Elisabetta MERIGO 1 , Carlo FORNAINI 1, Fabio CLINI 1, Nicoletta TINELLI 2, Matteo FONTANA 1, Giuseppe LAGORI 1, Aldo OPPICI 1

1 Unit of Odontostomatology and Maxillofacial Surgery, Guglielmo da Saliceto Hospital, Piacenza, Italy; 2 Unit of Ear, Nose, and Throat, Guglielmo da Saliceto Hospital, Piacenza, Italy


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BACKGROUND: Reconstructive surgery is one of the most challenging features of the surgical defects and scar is the main answer to wound for re-gaining the tissue continuity, sometimes however resulting on a not functionally and aesthetically complete success. Bioscaffolds are gaining more and more interest in medicine due to their biologic and functional properties and Matriderm® is a bovine dermic bioscaffold conceived for orthopaedic, plastic and dermatologic purposes. The aim of this clinical study is to show the advantages of the use of Matriderm® in different situations of oral surgery.
METHODS: Forty patients with need of anatomic ablation in oral region and with a wound healing process by second intention, mucosal graft or local flaps were randomly selected. In all the cases, a fragment of Matriderm® was grafted into the surgical defect and fixed by a rapid reabsorption suture.
RESULTS: All patients treated showed a complete restitutio ad integrum, no early or late bleeding phenomena were found and the healing time was very shorter when compared to the traditional surgery.
CONCLUSIONS: Use of Matriderm® in oral surgery may be considered a good approach to reduce the healing time, to improve the final result and to avoid the risk of recurrences.


KEY WORDS: Bioscaffold - Wound healing - Mucosal substitute - Oral surgery - Tonsillectomy

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