Application in a Gun Shot Wound
Christine Castater, MD
General Surgery – Acute Care and Trauma | WellStar Kennestone Marietta, GA
Pre-operative Assessment
8 Months
Results
- Excellent skin pigmentation, pliability
- Return of hair growth noted
- No complications
- No wound recurrence or complications at 16 months
- Single Myriad application
Patient details
36-year-old male
Medical history
Medical History: unremarkable
Case details
- Description: Full thickness wound with parotid fistula
- Etiology: gunshot wound
- Initial procedure: Embolization of facial artery branches and parotid leak
Application photos
Pre-operative Assessment
- Full thickness wound with injury to the parotid gland and subsequent parotid fistula
- Approximate size: 4 cm x 2 cm x 2 cm
Morcells application (Week 0)
- Applied Myriad Morcells (500 mg) on hospital day 7, hydrated in situ with sterile saline
- Secondary dressing: contact layer and dry sterile dressing
Day 3
- Pain well-controlled
- No complications
- Secondary dressing: Gauze and Tegaderm®
Day 7
- Morcells well adhered, 80% integrated
- Significant granulation tissue noted
- Improved depth
- No complications
- Maintain secondary dressing regiment
Day 10
- Morcells 90% integrated
- Granulation tissue filling in depth of wound
- No complications
Day 40
- 90% epithelialized
- No complications
Day 45
- Epithelialized, depth filled.
- Parotid fistula resolved without further surgical intervention
- No complications
7 months
- Excellent skin pigmentation, pliability
- Return of hair growth noted
- No complications
8 Months
- Excellent skin pigmentation, pliability
- Return of hair growth noted
- No complications
- No wound recurrence or complications at 16-months
Results may vary. Christine Castater has a consultancy agreement with Aroa Biosurgery Limited.
Tegaderm® is a trademark and property of the respective owner.
