Application in a Chest NSTI
Michael Cormican, MD
Trauma Surgeon – Northeast Georgia Physicians Group. Northeast Georgia Medical Center – Gainesville, GA
Pre-operative assessment
Week 16
Results
- Depth eradication
- Full epithelialization
- No complications
- Single Myriad application
Patient details
60-year-old female
Medical history
- Fell from a truck and landed on the hitch, sustaining acute soft tissue injuries to left chest and abdomen
- Initial defect developed into an NSTI with full-thickness ulceration to thoracic wall
Case details
- Previous treatment: Multiple surgical debridements, and antibiotics. Transferred to trauma centre for further surgery
- Approximate size: 21 cm x 14 cm x 3 cm
Application photos
Pre-operative assessment
- Previous treatment: Multiple surgical debridements and antibiotics. Transferred to the trauma center for further surgery.
- Approximate size: 21cm x 14cm x 3cm
Week 0 - Myriad™ Application
- Post debridement, application of two Myriad Matrix devices (10 cm x 20 cm, 3-layer), trimmed to size to fit the entire defect, including areas of undermining
- Secondary dressing: NPWT at 125 mmHg
Day 6
- Development of well vascularized tissue peripherally
- Residual Myriad noted, kept intact and hydrated
- No sign of infection or complications
- Continue NPWT dressing
Day 11
- Further integration of Myriad and formation of vascularized granulation tissue
- No complications
Day 15
- Nearly complete integration of Myriad
- Reduced depth
- Vascularized granulation tissue noted
- No complications
Day 36
- Significant depth reduction
- No complications
- Plan to close via STSG
Day 57
- Depth eradicated
- No complications
- Subsequent procedure (not shown), STSG applied, with ~75% take at one week
Week 16
- Full take and epithelialization of STSG
- No complications
Results may vary. Dr. Cormican has a consultancy agreement with Aroa Biosurgery Limited.
