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June 1989

Collagen Sheeting Implants in Facial Cosmetic and Reconstructive Surgery

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Arch Otolaryngol Head Neck Surg. 1989;115(6):661. doi:10.1001/archotol.1989.01860300015002

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At the recent fall meeting of the American Academy of Facial Plastic and Reconstructive Surgery held in Washington, DC, William R. Panje and Thomas J. Dobleman, Chicago, discussed the application of collagen sheeting to reconstruct head and neck defects. The authors detailed their use of implantable collagen sheeting, with the trade name Instat, for correction of various head and neck defects. The collagen sheets were soaked in an antibiotic solution and then layered into the defect until the desired augmentation was obtained. The need for over correction of the defect was stressed, as there is some degree of implant resorption. A series of patients with various defects that were corrected by implantation of collagen sheeting were presented. The authors noted that approximately 3.6 sheets of collagen were used per defect; the largest amount being six sheets. All patients experienced some resorption of the implant with a loss of augmentation. An

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