Abstract
We used acellular dermal matrix (ADM) to reconstruct the dura in a patient with recurrent malignant schwannoma of the scalp. The patient had previously undergone ablative surgery with reconstruction and radiation therapy. The present recurrence involved the dura. Full-thickness resection was performed. Reconstruction was carried out using ADM, a free muscle-flap covered with at split skin graft, and healed primarily. The patient recovered completely. Dural reconstruction may be performed using foreign materials. Biologic materials may prove superior as they favour ingrowth of the patients’ own supporting tissues. We found that ADM provided the patient with at fluid-tight dural reconstruction. ADM may be a feasible alternative to other dural substitutes.
Level of Evidence: Level V, therapeutic study.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Costantino PD, Wolpoe ME, Govindaraj S, Chaplin JM, Sen C, Cohen M, Gnoy A (2000) Human dural replacement with acellular dermis : clinical results and a review of the literature. Head & neck: 765–771
Gagliardi F, Boari N, Mortini P (2011) Reconstruction techniques in skull base surgery. J Craniofac Surg 22:1015–1020
Hill SM, Elwood ET, Lin J (2012) Closure of meningomyelocele defects using acellular dermal matrix. J Neurosurg Pediatr 9:156–160
Ibrahim AMS, Ayeni OA, Hughes KB, Lee BT, Slavin SA, Lin SJ (2013) Acellular dermal matrices in breast surgery: a comprehensive review. Ann Plast Surg 70:732–738
Lee WMD, Max BMD, Catalino DMD, Brad JMD, Patrick PMD, Michael YMD, Takanori MD (2000) Dural repair using acellular human dermis: experience with 200 cases: technique assessment. Neurosurgery 46:1391–1396
Menon NG, Rodriguez ED, Byrnes CK, Girotto JA, Goldberg NH, Silverman RP (2003) Revascularization of human acellular dermis in full-thickness abdominal wall reconstruction in the rabbit model. Ann Plast Surg 50:523–527
Shridharani SM, Tufaro AP (2012) A systematic review of acelluar dermal matrices in head and neck reconstruction. Plast Reconstr Surg 130(5 Suppl 2):35S–43S
Lenyoun EH, Lampert JA, Xipoleas GD, Taub PJ (2011) Salvage of calvarial bone graft using acellular dermal matrix in nasal reconstruction and secondary rhinoplasty for frontonasal dysplasia. J Craniofac Surg 22:1378–1382
Chaplin JM, Costantino PD, Wolpoe ME, Bederson JB, Griffey ES, Zhang WX (1999) Use of an acellular dermal allograft for dural replacement: an experimental study. Neurosurgery 45:320–327
Conflict of interest
T Engberg Damsgaard, N Hammer-Hansen, G Eschen Toft, BJ Kiil and G von Oettingen declare that they have no conflict of interest.
Patient consent
Patient provided written consent for the use of his images.
Informed consent
Informed consent was obtained from the patient included in the study.
Ethical Standards
For this retrospective study formal consent from a local ethics committee is not required.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Damsgaard, T.E., Hammer-Hansen, N., Eschen, G.T. et al. Porcine acellular dermal matrix for reconstruction of the dura in recurrent malignant schwannoma of the scalp. Eur J Plast Surg 39, 61–64 (2016). https://doi.org/10.1007/s00238-015-1128-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00238-015-1128-8