{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T14:17:21Z","timestamp":1777645041514,"version":"3.51.4"},"reference-count":9,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,11,18]]},"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>The Welsh Centre for Burns and Plastic Surgery is responsible for a population of 10\u2009million people in Wales and England. We describe the use of biodegradable temporising matrix (BTM) in a large traumatic chest wound in a 23-year-old woman. BTM is a synthetic dermal substitute and has been utilised to achieve soft tissue coverage in complex wounds. This wound was sustained after the patient fell from a tractor into a large silage rake, resulting in injuries to her chest and limbs. Following meticulous debridement, her resulting full thickness skin defect measured 30 \u00d7 30\u2009cm extending from the sternal notch to the upper abdomen, with bone, muscle and breast tissue exposure. The central chest area is complex to reconstruct due to the contours of the breasts and tendency to contracture following skin graft reconstruction. We demonstrate the first reported use of BTM for breast reconstruction, as far as we are aware.<\/jats:p>","DOI":"10.1136\/bcr-2021-246691","type":"journal-article","created":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T13:25:11Z","timestamp":1640006711000},"page":"e246691","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Biodegradeable temporising matrix use in a traumatic chest wound"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2415-4533","authenticated-orcid":false,"given":"Eliot","family":"Carrington-Windo","sequence":"first","affiliation":[{"name":"Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam","family":"Leong","sequence":"additional","affiliation":[{"name":"Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4609-1430","authenticated-orcid":false,"given":"Nader","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Pope-Jones","sequence":"additional","affiliation":[{"name":"Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,12,20]]},"reference":[{"key":"2025082712184681000_14.12.e246691.1","doi-asserted-by":"crossref","first-page":"1845","DOI":"10.1016\/j.bjps.2020.05.067","article-title":"A consecutive case series of defects reconstructed using NovoSorb\u24c7 Biodegradable Temporising Matrix: initial experience and early results","volume":"73","author":"Solanki","year":"2020","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"2025082712184681000_14.12.e246691.2","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.burnso.2017.08.001","article-title":"Experience with a synthetic bilayer biodegradable temporising matrix in significant burn injury","volume":"2","author":"Greenwood","year":"2018","journal-title":"Burns Open"},{"key":"2025082712184681000_14.12.e246691.3","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.burnso.2018.10.002","article-title":"Biodegradable Temporising matrix (BTM) for the reconstruction of defects following serial debridement for necrotising fasciitis: a case series","volume":"3","author":"Wagstaff","year":"2019","journal-title":"Burns Open"},{"key":"2025082712184681000_14.12.e246691.4","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1308\/rcsann.2017.0110","article-title":"The evolution of acute burn care - retiring the split skin graft","volume":"99","author":"Greenwood","year":"2017","journal-title":"Ann R Coll Surg Engl"},{"key":"2025082712184681000_14.12.e246691.5","article-title":"Free flap donor site reconstruction: a prospective case series using an optimized polyurethane biodegradable Temporizing matrix","volume":"15","author":"Wagstaff","year":"2015","journal-title":"Eplasty"},{"key":"2025082712184681000_14.12.e246691.6","unstructured":"Neale HW . Reconstruction of the burned breast and abdomen. In: Achauer BM , ed. Burn reconstruction. New York: Thieme Medical Publishers, 1991: 148\u201364."},{"key":"2025082712184681000_14.12.e246691.7","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/S0007-1226(03)00101-2","article-title":"Burned breast reconstructive surgery with Integra dermal regeneration template","volume":"56","author":"Palao","year":"2003","journal-title":"Br J Plast Surg"},{"key":"2025082712184681000_14.12.e246691.8","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1097\/BCR.0b013e318233fac1","article-title":"Comparison of a sealed, polymer foam biodegradable temporizing matrix against Integra\u00ae dermal regeneration template in a porcine wound model","volume":"33","author":"Greenwood","year":"2012","journal-title":"J Burn Care Res"},{"key":"2025082712184681000_14.12.e246691.9","doi-asserted-by":"crossref","unstructured":"Dankat-Thomas L , Greenwood J , Wagstaff M . A synthetic Biodegradeable Temporising matrix in degloving lower extremity trauma reconstruction: a case report. Plast Reconstr Surg Glob Open 2019;7.doi:10.1097\/GOX.0000000000002110","DOI":"10.1097\/GOX.0000000000002110"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-246691","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:18:54Z","timestamp":1756322334000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-246691"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":9,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2021,12,20]]},"published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1136\/bcr-2021-246691"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-246691","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12]]}}}