An alternative to skin graft for superficial surgical defect in oral cancer surgery

Introduction: After surgery for oral cavity cancer, superficial surgical defects are usually covered with a skin graft that can be harvested with different thicknesses depending on the reconstructive need. Despite its popularity and efficacy, this solution has the disadvantage of excessive harvestin...

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Autores principales:	Giancarlo Tirelli, Margherita Tofanelli, Alice Piccinato, Francesca Boscolo Nata
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Bovine pericardium Skin graft Tutopatch Oral cancer Surgical defect Otorhinolaryngology RF1-547
Acceso en línea:	https://doaj.org/article/d102fbed42274b86b9b298446c16be97
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spelling	oai:doaj.org-article:d102fbed42274b86b9b298446c16be972021-11-06T04:23:37ZAn alternative to skin graft for superficial surgical defect in oral cancer surgery1808-869410.1016/j.bjorl.2020.02.002https://doaj.org/article/d102fbed42274b86b9b298446c16be972021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1808869420300276https://doaj.org/toc/1808-8694Introduction: After surgery for oral cavity cancer, superficial surgical defects are usually covered with a skin graft that can be harvested with different thicknesses depending on the reconstructive need. Despite its popularity and efficacy, this solution has the disadvantage of excessive harvesting times and scarring of the donor site. Other surgeons have proposed the use of bovine pericardium as a reconstructive solution. Its use in otorhinolaryngology especially after oral cavity surgery has never been reported. Objective: The aim of this manuscript is to present our preliminary experience with the use of a collagen membrane obtained from bovine pericardium in the reconstruction of small and superficial defects after transoral resection of oral cavity tumors. Methods: A bovine collagen membrane was used to cover surgical defects in 19 consecutive patients undergoing transoral resection of small/superficial oral cancers. Photographs were obtained in the postoperative period to follow the healing process. We analyzed the pro and cons of this tool, recorded data on postoperative chewing-, speech- and taste-related quality of life, and tested the most appropriate settings providing the best reconstructive result. Results: The bovine collagen membrane allowed us to cover surgical defects of varying size in different oral sites. Shaping and placement proved to be simple. The membrane facilitated physiologic tissue repair: after one month it was completely absorbed and replaced by the patient’s own mucosa. No adverse features were observed in the cohort. Conclusion: A bovine collagen membrane can represent a fast and easy solution in cases of split-thickness defect. Unlike a skin graft, it is not associated with donor site morbidity and allows the patient’s own mucosa to be restored with a more physiological result.Giancarlo TirelliMargherita TofanelliAlice PiccinatoFrancesca Boscolo NataElsevierarticleBovine pericardiumSkin graftTutopatchOral cancerSurgical defectOtorhinolaryngologyRF1-547ENBrazilian Journal of Otorhinolaryngology, Vol 87, Iss 6, Pp 678-682 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Bovine pericardium Skin graft Tutopatch Oral cancer Surgical defect Otorhinolaryngology RF1-547
spellingShingle	Bovine pericardium Skin graft Tutopatch Oral cancer Surgical defect Otorhinolaryngology RF1-547 Giancarlo Tirelli Margherita Tofanelli Alice Piccinato Francesca Boscolo Nata An alternative to skin graft for superficial surgical defect in oral cancer surgery
description	Introduction: After surgery for oral cavity cancer, superficial surgical defects are usually covered with a skin graft that can be harvested with different thicknesses depending on the reconstructive need. Despite its popularity and efficacy, this solution has the disadvantage of excessive harvesting times and scarring of the donor site. Other surgeons have proposed the use of bovine pericardium as a reconstructive solution. Its use in otorhinolaryngology especially after oral cavity surgery has never been reported. Objective: The aim of this manuscript is to present our preliminary experience with the use of a collagen membrane obtained from bovine pericardium in the reconstruction of small and superficial defects after transoral resection of oral cavity tumors. Methods: A bovine collagen membrane was used to cover surgical defects in 19 consecutive patients undergoing transoral resection of small/superficial oral cancers. Photographs were obtained in the postoperative period to follow the healing process. We analyzed the pro and cons of this tool, recorded data on postoperative chewing-, speech- and taste-related quality of life, and tested the most appropriate settings providing the best reconstructive result. Results: The bovine collagen membrane allowed us to cover surgical defects of varying size in different oral sites. Shaping and placement proved to be simple. The membrane facilitated physiologic tissue repair: after one month it was completely absorbed and replaced by the patient’s own mucosa. No adverse features were observed in the cohort. Conclusion: A bovine collagen membrane can represent a fast and easy solution in cases of split-thickness defect. Unlike a skin graft, it is not associated with donor site morbidity and allows the patient’s own mucosa to be restored with a more physiological result.
format	article
author	Giancarlo Tirelli Margherita Tofanelli Alice Piccinato Francesca Boscolo Nata
author_facet	Giancarlo Tirelli Margherita Tofanelli Alice Piccinato Francesca Boscolo Nata
author_sort	Giancarlo Tirelli
title	An alternative to skin graft for superficial surgical defect in oral cancer surgery
title_short	An alternative to skin graft for superficial surgical defect in oral cancer surgery
title_full	An alternative to skin graft for superficial surgical defect in oral cancer surgery
title_fullStr	An alternative to skin graft for superficial surgical defect in oral cancer surgery
title_full_unstemmed	An alternative to skin graft for superficial surgical defect in oral cancer surgery
title_sort	alternative to skin graft for superficial surgical defect in oral cancer surgery
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/d102fbed42274b86b9b298446c16be97
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An alternative to skin graft for superficial surgical defect in oral cancer surgery

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