title: Combined Treatment Modalities of Hyperbaric Oxygen Therapy, Bilayer Matrix Wound Dressing, and Negative Pressure Therapy in Patients with Failed Temporoparietal Fascia Flaps.
abstract: Temporoparietal fascia flaps are reported to have a 94% success rate in auricular reconstruction. Bilayer matrix (Integra™, Integra LifeSciences, Plainsboro, NJ) dermal graft alone has an average success rate of 76.6%. When combined with fibrin glue and negative pressure therapy (V.A.C.Â® FreedomÂ®, KCI, San Antonio, Tex) the flaps have a success rate of up to 98% in patients with a variety of wound types and sites. Two patients are presented with failed temporoparietal fascia flaps. In addition, one also had prior failure of a split-thickness skin graft; the second also had failure of prior Integra split-thickness skin graft, and hyperbaric oxygen therapy. All 3 treatment modalities of bilayer dermal graft, negative pressure therapy, and hyperbaric oxygen used simultaneously allowed both flaps to heal.
authors.forename: Joan V
authors.initials: JV
authors.lastname: Eggert
authors.forename: Carl
authors.initials: C
authors.lastname: Van Gils
authors.forename: Kent
authors.initials: K
authors.lastname: Gardner
authors.forename: Brenda
authors.initials: B
authors.lastname: Forbes
authors.forename: Robert
authors.initials: R
authors.lastname: Rhodes
authors.forename: Steven
authors.initials: S
authors.lastname: Van Norman