[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-432134-105":3,"detail-sidebar-cat-0-en-105":85,"doc-detail-432134-en":134},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":78,"head_meta":80,"extra_data":82,"updated_unix":84},105,"en","single-stage-reconstruction-of-the-right-thumbnail-with-novosorb-biodegradable-temporizing-matrix-btm-following-massive-glomus-tumor-resection","Single stage reconstruction of the right thumbnail with Novosorb® Biodegradable Temporizing Matrix (BTM) following massive glomus tumor resection","","Glomus tumors are rare, benign vascular neoplasms that often cause localized pain and functional restriction, particularly when they arise in the subungual region of the distal phalanx. This case report describes a 47-year-old man with a right thumb glomus tumor involving over 70% of the nailbed and causing severe pain, with imaging confirming substantial distal phalanx bone erosion. Following excision with germinal matrix ablation, single-stage reconstruction using a dermal fat graft and Biodegradable Temporizing Matrix enabled immediate coverage. At 4 weeks, BTM integrated and was delaminated to expose a vascular wound bed; at 6 months, full painless active motion was restored.",{"@graph":14,"@context":77},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/single-stage-reconstruction-of-the-right-thumbnail-with-novosorb-biodegradable-temporizing-matrix-btm-following-massive-glomus-tumor-resection/432134/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/single-stage-reconstruction-of-the-right-thumbnail-with-novosorb-biodegradable-temporizing-matrix-btm-following-massive-glomus-tumor-resection/432134.png","ImageObject",300,407,{"name":42,"@type":43},"Dipper","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",10,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69,73],{"name":60,"@type":61,"acceptedAnswer":62},"What problem does the article address in thumb reconstruction?","Question",{"text":63,"@type":64},"It addresses reconstructive difficulty after excision of a large glomus tumor involving the distal phalanx and more than 70% of the nailbed, which can be locally destructive and severely painful.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How was the tumor diagnosed before surgery?",{"text":68,"@type":64},"Plain radiographs suggested glomus tumor but could not exclude an intraosseous epidermal inclusion cyst, so contrast MRI was performed. MRI confirmed a lesion consistent with a glomus tumor.",{"name":70,"@type":61,"acceptedAnswer":71},"What reconstruction method was used and why is it significant?",{"text":72,"@type":64},"The authors used single-stage reconstruction with a dermal fat graft plus Biodegradable Temporizing Matrix (BTM), aiming to avoid complex multi-stage procedures while providing immediate defect coverage and structural integrity.",{"name":74,"@type":61,"acceptedAnswer":75},"What were the clinical outcomes during follow-up?",{"text":76,"@type":64},"At 4 weeks, BTM had integrated and was delaminated to reveal a vascular wound bed, and healing proceeded without a skin graft. At 6 months, functional outcomes were excellent with restored full active range of motion and no pain or hypersensitivity.","https://schema.org",{"og:url":32,"og:type":79,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":81,"canonical":32},"index,follow",{"doc_id":83,"site_id":7},432134,1790739835,{"code":4,"msg":86,"data":87},"success",[88,92,96,100,105,110,114,119,124,127,130],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},"Exam",70,"exam",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},5,"Comic",60,"comic",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":107,"show_sort_weight":108,"slug":109},6,"Technology",50,"technology",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":112,"slug":113},7,40,"healthcare",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},8,"Research & Report",30,"research-report",{"id":120,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":122,"slug":123},9,"Religion & Spirituality",20,"religion-spirituality",{"id":122,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":122,"slug":126},"World Cup","world-cup",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":55,"slug":129},"Lifestyle","lifestyle",{"id":131,"doc_module":4,"doc_module_name":25,"category_name":132,"show_sort_weight":101,"slug":133},19,"General","general",{"code":4,"msg":86,"data":135},{"doc_id":83,"user_id":136,"nickname":42,"user_avatar":137,"doc_module":4,"category_id":111,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":106,"language":143,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":144,"faqs":145,"seo_title":146,"seo_description":12,"update_tm":147,"read_time":148,"preview_page_count":4},1374404997633,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","JPRAS Open 48 (2026) 315–320  \nContents lists available at ScienceDirect  \nJPRAS Open  \njournal [homepage:](homepage: www.elsevier.com/locate/jpra)[ www.elsevier.com/locate/jpra](homepage: www.elsevier.com/locate/jpra)  \nCase Report  \nSingle stage reconstruction of the right thumbnail with Novosorb® Biodegradable Temporizing Matrix (BTM) following massive glomus tumor resection  \nEimear Phoenix a,b,∗, David Carolanb, Robin Cairdb, Safwat Ibrahim a,b  \na Royal College of Surgeons, St Stephen’s Green, Dublin, Ireland b Beaumont Hospital, Beaumont Road, Beaumont, Dublin, Ireland  \na r t i c l e i n f o  \nArticle history:  \nReceived 13 February 2025  \nAccepted 2 November 2025  \nAvailable online 6 November 2025  \nKeywords:  \nGlomus tumor  \nNailbed reconstruction  \nThumb reconstruction Biodegradable Temporizing Matrix Dermal matrices  \na b s t r a c t  \nBackground: Glomus tumors are rare, benign vascular neoplasms arising from glomus bodies, often presenting with localized pain and functional limitation. The tumors commonly arise in the subungual region of the distal phalanx and can be locally destructive, posing a unique reconstructive challenge.  \nCase presentation: We report the case of a 47-year-old male, presenting with a glomus tumor of the distal phalanx of the right thumb, involving more than 70 % of the nailbed resulting in severe pain and functional impairment. Imaging confirmed significant bone erosion of the distal phalanx. Surgical excision with germinal matrix ablation was performed, achieving complete resection. A novel single-stage reconstruction of the right thumb with exposed distal phalanx and nailbed loss was undertaken using a dermal fat graft from the right forearm and Biodegradable Temporizing Matrix (BTM). This approach precluded a complex multi-stage reconstruction and enabled immediate defect coverage and restoration of structural integrity.  \n∗ Corresponding author.  \nE-mail address: [eimearphoenix@rcsi.com](eimearphoenix@rcsi.com) (E. Phoenix).  \n[https://doi.org/10.1016/j.jpra.2025.11.003](https://doi.org/10.1016/j.jpra.2025.11.003)  \n2352-5878/© 2025 The Authors. Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. This is an open access article under the CC BY license ([http://creativecommons.org/licenses/by/4.0/](http://creativecommons.org/licenses/by/4.0/))  \nE. Phoenix, D. Carolan, R. Caird et al. JPRAS Open 48 (2026) 315–320  \nOutcome: At 4 weeks review, the BTM had fully integrated and was delaminated to reveal a vascularized wound bed. The wound was left to heal by secondary intention and no skin graft was performed. At 6 months post-operatively, functional outcomes were excellent with restoration of full active range of motion without pain or hypersensitivity.  \nConclusion: This case highlights the efficacy of single-stage BTM reconstruction following glomus tumor excision involving the distal phalanx and nail bed. The approach offers a promising alternative to conventional multi-stage reconstruction, ensuring optimal recovery and function. Further studies are needed to validate the efficacy of BTM in hand reconstruction.  \n© 2025 The Authors. Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. This is an open access article under the CC BY license  \n([http://creativecommons.org/licenses/by/4.0/](http://creativecommons.org/licenses/by/4.0/))  \nIntroduction  \nGlomus tumors are rare, benign vascular neoplasms arising from glomus bodies, often presenting with localized pain, tenderness, and functional limitation.1 These tumors commonly arise in the subungual region of the distal phalanx and can invade locally into bone and the nail bed, posing a unique reconstructive challenge for the discerning hand surgeon.2 Whilst surgical excision generally results in resolution, a recurrence rate of 12–33 % is reported and usually results from incomplete excision.3 Reconstructive following excision of l","cbCaiexsHHcystaI","https://ap.wps.com/l/cbCaiexsHHcystaI","pdf",824367,"English","# Introduction\n# Case presentation\n## Preoperative assessment and diagnosis\n## Surgical excision and reconstruction\n# Outcome\n# Conclusion","[{\"question\":\"What problem does the article address in thumb reconstruction?\",\"answer\":\"It addresses reconstructive difficulty after excision of a large glomus tumor involving the distal phalanx and more than 70% of the nailbed, which can be locally destructive and severely painful.\"},{\"question\":\"How was the tumor diagnosed before surgery?\",\"answer\":\"Plain radiographs suggested glomus tumor but could not exclude an intraosseous epidermal inclusion cyst, so contrast MRI was performed. MRI confirmed a lesion consistent with a glomus tumor.\"},{\"question\":\"What reconstruction method was used and why is it significant?\",\"answer\":\"The authors used single-stage reconstruction with a dermal fat graft plus Biodegradable Temporizing Matrix (BTM), aiming to avoid complex multi-stage procedures while providing immediate defect coverage and structural integrity.\"},{\"question\":\"What were the clinical outcomes during follow-up?\",\"answer\":\"At 4 weeks, BTM had integrated and was delaminated to reveal a vascular wound bed, and healing proceeded without a skin graft. At 6 months, functional outcomes were excellent with restored full active range of motion and no pain or hypersensitivity.\"}]","Single stage reconstruction of the right thumbnail with Novosorb® Biodegradable Temporizing Matrix (BTM) following massive glomus tumor resection | PDF",1790658251,15]