title: Nasal Tip Reconstruction Using Integra Bilayer Wound Matrix: An Alternative to the Forehead Flap.
abstract: Large defects of the nasal tip with exposure of the underlying cartilage pose a significant reconstructive challenge to the plastic surgeon.
  
  
  OBJECTIVE
  This article presents a case of a large nasal tip defect following basal cell excision that was successfully treated with Integra bilayer wound matrix and skin grafting.
  
  
  METHODS
  Following tumor excision, meshed Integra bilayer wound matrix was placed over the exposed nasal tip cartilage. After 4 weeks, the silicone layer was removed and a full-thickness graft placed on the nasal tip.
  
  
  RESULTS
  This reconstruction resulted in the restoration of patient's nasal tip with good contour and color match without the need for a forehead flap.
  
  
  CONCLUSIONS
  This demonstrates the reconstructive potential of this modality in patients who are not candidates for reconstruction with a forehead flap.
authors.affiliation: Division of Plastic Surgery, Department of Surgery, University of South Florida, Tampa.
authors.forename: M A
authors.initials: MA
authors.lastname: Applebaum
authors.affiliation: Division of Plastic Surgery, Department of Surgery, University of South Florida, Tampa.
authors.forename: J D
authors.initials: JD
authors.lastname: Daggett
authors.affiliation: Plastic Surgery Section, James A. Haley VA Healthcare System, Tampa, Fla.
authors.forename: W L
authors.initials: WL
authors.lastname: Carter
keywords: Integra; bilayer wound matrix; forehead flap; nasal reconstruction; nasal tip