The use of biodegradable temporising matrix (BTM) for facial unit reconstruction with adjuvant radiotherapy—A case study

Synthetic Biodegradable Temporising Matrix (BTM, NovoSorb; PolyNovo Biomaterials Pty Ltd, Port Melbourne, Victoria, Australia) has proven useful in the resurfacing of large burns 1Lo CH Brown JN Dantzer EJG et al.Wound healing and dermal regeneration in severe burn patients treated with NovoSorb® Biodegradable Temporising Matrix: A prospective clinical study.Burns. 2022; 48: 529-538https://doi.org/10.1016/J.BURNS.2021.07.014Crossref Google Scholar, necrotising infection debridement 2Wagstaff MJ Caplash Y Greenwood JE. Reconstruction of an Anterior Cervical Necrotizing Fasciitis Defect Using a Biodegradable Polyurethane Dermal Substitute.Eplasty. 2017; 17 (Accessed May 2, 2023): e3https://pubmed.ncbi.nlm.nih.gov/28197297/PubMed Google Scholar and tumour excision with exposed bone 3Solanki NS York B Gao Y Baker P Wong She RB. A consecutive case series of defects reconstructed using NovoSorbⓇ Biodegradable Temporising Matrix: Initial experience and early results.J Plast Reconstr Aesthet Surg. 2020; 73: 1845-1853https://doi.org/10.1016/J.BJPS.2020.05.067Abstract Full Text Full Text PDF Scopus (0) Google Scholar. We present a case report of a large BCC invading three aesthetic subunits of the face which was successfully reconstructed with BTM, split-thickness skin graft with subsequent adjuvant radiotherapy due to the high risk nature of the BCC. We present our series of images illustrating the timeline of BTM, and the ability to achieve a good skin colour match with minimal contour deformity, even in the event of post operative radiotherapy use.