PMC5996646_01
Initial presentation with eczema and trophic changes of the surrounding skin
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F1
There was erythema, eczema, and trophic changes of the surrounding skin [Figure 1].
(a) Removal of reconstruction plate and primary closure and (b) ulcer 2 months postprimary closure
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F2
Previous treatment was with removal of exposed reconstruction plate and primary closure [Figure 2a]. Two-month later, the patient reported back with an ulcer on the same site [Figure 2b] which was bigger in size than the first reported.
(a) Calgigraf Silver foam and (b) Calgigraf foam dressing shaped to cover the wound
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F3
The failure of conventional methods of repeated wound dressings prompted the use of Calgigraf Ag foam [Figure 3a and b].
Significant decrease with granulation tissue formation after periodic Calgigraf foam dressing (day 45)
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F4
After a further 14 days [day 21] [Figure 4a and b], there was no longer any odor.
Complete healing day 60
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F5
Inflammation had decreased and the wound had reduced completely [Figure 5].