Here - EWMA 2013

E-POSTER: DEVICES & INTERVENTION
E-Poster: Devices & Intervention
EP 454
NEGATIVE PRESSURE THERAPY AND DERMAL SUBSTITUTE IN THE
TREATMENT OF THE HIDRADENITIS SUPPURATIVE OF THE GROIN AND THIGH
Luiz Gustavo Balaguer Cruz 1
1 Hospital 9 de Julho (São Paulo, Brazil).
Hidradenitis suppurative is a chronic pathology that affects the sweat glands of the skin,
it frequentely develop abscess leading to pain, disability and in some cases needing
drainage, debridement, IV antibiotics and hospitalization.
The conservative treatment offers temporary results and recurrence is frequent.
The surgical procedures will consist on local flaps or skin graft having same important
considerations: to perform a full-thickness skin grafting the patient must have a large
donor area what rarely occurs. Otherwise, the partial thickness skin grafting can leads to
a skin contraction on these high demanded articular region what can not be allowed, on
the other hand the use of local flaps is very restrict because frequently the donor sites of
the flaps is also affected by the disease.
The groin region is very difficult to be grafted because of its particular anatomical
features and specially the high risk of contamination and losing of the skin grafting. The
negative pressure therapy dressing can be well adapted to the anatomy of the region
and as a closed system if it is very well sealed the risk of contamination is minimal.
One patient was treated using negative pressure therapy associated with the grafting of
a dermal substitute and a partial thickness skin grafting achieving a good functional and
cosmetic result in a fifteen months follow up.
EP 455
E-Poster: Devices & Intervention
A NEW APPROACH TO THE TREATMENT OF RHINOPHYMA WITH DERMAL
SUBSTITUTE
Luiz Gustavo Balaguer Cruz 1
1 Hospital 9 de Julho (São Paulo, Brazil).
Rhinophyma is a pathology that affects the skin of the nose. It is caused by a chronic
inflammation of the sebaceous glands that will lead to histological changes of the skin.
In most severe cases the inflammation also affects the deep structures oF the nose as
the cartilages, changing its anatomical features but maintaining its histological
characteristics.
Until now the treatment consists on differents methods of dermabrasion like laser
resurfacing or chemical peeling. Unfortunately, the current treatments do not prevent the
recurrence that is frequent.
A patient affected by the pathology for more than 30 years was submitted by different
treatments that consist of a full thickness skin excision, debridement of the affected
portions of nose cartilages and grafting of the health portions, associated with dermal
substitute grafting followed by a partial thickness skin grafting on the same surgical
procedure.
The patient is on a 20 months follow-up with no recurrence and with a very good
cosmetics result.
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
263