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Rhinophyma, a severe form of rosacea, causes significant nasal disfigurement, posing challenges for aesthetic reconstruction after excision. This case report details the novel application of PolyNovo's NovoSorb biodegradable temporizing matrix (BTM), a synthetic dermal substitute, for aesthetic nasal reconstruction following rhinophyma excision and utilizing secondary intention healing. A 65-year-old male with progressive rhinophyma underwent tangential excision and burring. A tailored piece of NovoSorb BTM was applied and secured to the defect. Postoperative care involved paraffin gauze. The patient exhibited excellent aesthetic results with minimal scarring. Outcome measures, including the FACE-Q Skin Cancer Module and the Dermatology Life Quality Index (DLQI), demonstrated significant improvements in appearance-related concerns, psychosocial well-being, and daily functioning. This report highlights the innovative use of NovoSorb BTM and secondary intention healing for rhinophyma reconstruction. The successful outcome, supported by validated patient-reported outcome measures, suggests that BTM may be a valuable tool in similar cases, offering a new avenue for achieving both functional and aesthetic goals.
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http://dx.doi.org/10.7759/cureus.87678 | DOI Listing |
J Craniofac Surg
September 2025
Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, Alberta.
Purpose: To demonstrate the use of negative pressure wound therapy (NPWT) and other reconstructive techniques in the reconstruction of large tissue defects resulting from periocular necrotizing fasciitis (NF).
Methods: Description of technique with 3 illustrative cases and accompanying photographic montage.
Results: Technique: Debridement successfully spared post-septal tissues and the lid margin in all cases.
J Clin Med
August 2025
Hand and Upper Limb Service, Department of Paediatric Plastic, Hand & Reconstructive Surgery, Birmingham Women's and Children's NHS Foundation Trust, Birmingham B4 6NH, UK.
Biodegradable Temporizing Matrix (BTM) is a new synthetic dermal substitute suitable for wound closure and tissue regeneration. The data in paediatric population remain limited. The study purpose is to review the indications for BTM application in paediatric patients, evaluate the short-term and long-term results, including complications and functional outcomes, as well as to share some unique observations regarding the use of BTM in paediatric population.
View Article and Find Full Text PDFCureus
July 2025
Department of Plastic and Reconstructive Surgery, General Hospital Papageorgiou, Thessaloniki, GRC.
Rhinophyma, a severe form of rosacea, causes significant nasal disfigurement, posing challenges for aesthetic reconstruction after excision. This case report details the novel application of PolyNovo's NovoSorb biodegradable temporizing matrix (BTM), a synthetic dermal substitute, for aesthetic nasal reconstruction following rhinophyma excision and utilizing secondary intention healing. A 65-year-old male with progressive rhinophyma underwent tangential excision and burring.
View Article and Find Full Text PDFJ Burn Care Res
July 2025
Burn Division, Department of Surgery, University of California Davis, Sacramento, CA, United States.
Severe burn injuries induce a hypermetabolic state, significantly increasing resting energy expenditure (REE) and systemic inflammation, which can impact wound healing and patient recovery. Biodegradable Temporizing Matrix (BTM), a synthetic polyurethane dermal substitute, has been increasingly used for large total body surface area (TBSA) burns, yet its metabolic effects remain unclear. This retrospective cohort study analyzed burn patients from 2013-2022 who underwent metabolic cart measurements following excision and wound coverage with autograft, allograft, or BTM.
View Article and Find Full Text PDFEplasty
June 2025
Department of Plastic Surgery, Lister Hospital, East and North Hertfordshire NHS Trust, Stevenage, United Kingdom.
Background: Biodegradable temporizing matrix (BTM) is a novel synthetic dermal matrix for wound reconstruction and an alternative to biological dermal substitutes such as Integra (Integra LifeSciences). It provides a scaffold for dermal regeneration and acts as a temporizing device prior to skin graft application, reducing the need for autologous tissue donor sites such as local or free-flap transfer.
Methods: This retrospective case series involved 12 patients whose surgery was completed with BTM from October 2021 to February 2023.