Use of integra in oral reconstruction: a case series

Publication date: Available online 15 November 2017
Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Author(s): L. Rúa Gonzálvez, L. de Villalaín Álvarez, A. Novoa Gómez, J.C. de Vicente Rodríguez, I. Peña González
Purpose: Small intraoral defects are usually reconstructed using skin autografts. However, the goal of this research was to describe an alternative to the classical techniques using artificial dermis (Integra®) in the reconstruction of these types of injuries. Materials and Methods: Four patients with small intraoral lesions in different locations underwent resection. The created defects were covered with a bilayer of Integra®; then, a chlorhexidine stent cure (Laboratorios Salvat, Barcelona, Spain) was applied. The patients were followed-up daily during the first week to detect any signs of infection, dehiscence or loss of the lamina. Thereafter, they were followed-up once per week for one month. Results: None of the patients presented with infections or a loss of the dermis. When the silicon sheet was detached, granulation tissue was detected, with complete re-epithelialization of the lesion in the postsurgical third through fourth weeks. Conclusion: The use of the Integra® allowed for the rapid reconstruction of slight intraoral defects, while preventing the morbidity associated with classical techniques. In this research, no complications were observed.



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