Abstract
NovoSorb® (PolyNovo Biomaterials Pty Ltd, 2/320 Lorimer Street, Port Melbourne, Victoria, 3207, Australia) biodegradable temporising matrix (BTM) is a synthetic dermal substitute that has provided an alternate approach to dermal loss and reconstruction to the classical reconstructive ladder. Biodegradable temporising matrix is designed to be used in a two-stage process in conjunction with skin grafting and provides an intermediate step where the wound bed is improved prior to definitive grafting.^1^ To date, there are few cases that have documented secondary intention healing over BTM and these have involved small areas in physiologically well individuals. This case represents the largest area of healing via secondary intention over BTM we are aware of in the literature, which resulted from continued deferment of the secondary grafting procedures due to the patient’s fluctuating acute medical status.
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