PMID- 36177380
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221001
IS  - 2042-8812 (Print)
IS  - 2042-8812 (Electronic)
IS  - 2042-8812 (Linking)
VI  - 2022
IP  - 9
DP  - 2022 Sep
TI  - The role of biodegradable temporizing matrix in the management of a patient with 
      major burns and anorexia nervosa.
PG  - rjac410
LID - 10.1093/jscr/rjac410 [doi]
LID - rjac410
AB  - Severe malnutrition secondary to anorexia nervosa results in deeper burns and 
      significantly impacts wound healing, which represents a major challenge to burn 
      management. The use of acellular dermal matrices, such as biodegradable 
      temporizing matrix (BTM), is a valuable tool to overcome the surgical 
      limitations. We describe a case of a 36-year-old female with a background of 
      anorexia nervosa (body mass index of 12.3) presenting with a 30% total burns 
      surface area (TBSA) burn. All of her burns were excised down to fascia due to the 
      absence of subcutaneous fat. Her thin skin and depleted nutritional status 
      significantly impacted reconstructive options. BTM was utilized to create a 
      neodermis and provide adequate time to optimize the nutritional status before 
      autologous skin resurfacing 3 weeks later, which yielded robust coverage with 
      minimal donor site morbidity. Despite initial surgical and nutritional 
      challenges, excellent outcomes were achieved in terms of wound healing, scar 
      contractures and mobility.
CI  - Published by Oxford University Press and JSCR Publishing Ltd. All rights 
      reserved. (c) The Author(s) 2022.
FAU - Tan, Poh
AU  - Tan P
AD  - Department of Burns and Plastic Surgery, Wythenshawe Hospital, Southmoor Road, 
      Manchester M23 9LT, UK.
FAU - Shah, Rushabh
AU  - Shah R
AUID- ORCID: 0000-0003-4047-7033
AD  - Department of Burns and Plastic Surgery, Wythenshawe Hospital, Southmoor Road, 
      Manchester M23 9LT, UK.
FAU - Hassouna, Tarek
AU  - Hassouna T
AD  - Department of Burns and Plastic Surgery, Wythenshawe Hospital, Southmoor Road, 
      Manchester M23 9LT, UK.
FAU - Murphy, Ralph
AU  - Murphy R
AD  - Department of Burns and Plastic Surgery, Wythenshawe Hospital, Southmoor Road, 
      Manchester M23 9LT, UK.
FAU - McNally, Samantha
AU  - McNally S
AD  - Department of Burns and Plastic Surgery, Wythenshawe Hospital, Southmoor Road, 
      Manchester M23 9LT, UK.
LA  - eng
PT  - Case Reports
DEP - 20220927
PL  - England
TA  - J Surg Case Rep
JT  - Journal of surgical case reports
JID - 101560169
PMC - PMC9514796
OTO - NOTNLM
OT  - anorexia nervosa
OT  - biodegradable temporizing matrix
OT  - burns
OT  - malnutrition
EDAT- 2022/10/01 06:00
MHDA- 2022/10/01 06:01
PMCR- 2022/09/27
CRDT- 2022/09/30 02:47
PHST- 2022/08/02 00:00 [received]
PHST- 2022/08/23 00:00 [accepted]
PHST- 2022/09/30 02:47 [entrez]
PHST- 2022/10/01 06:00 [pubmed]
PHST- 2022/10/01 06:01 [medline]
PHST- 2022/09/27 00:00 [pmc-release]
AID - rjac410 [pii]
AID - 10.1093/jscr/rjac410 [doi]
PST - epublish
SO  - J Surg Case Rep. 2022 Sep 27;2022(9):rjac410. doi: 10.1093/jscr/rjac410. 
      eCollection 2022 Sep.