At day 20 some cellulitis/superficial infection of the wound edge and BTM was evident (Figure 1B). This was managed with oral antibiotics and milking of the wound bed through small incisions of the silicone. With alternative dermal substitutes (or even a one stage reconstruction) this appearance could signal an infected site and risk failure of the matrix. In contrast, this was easily managed when using BTM by simply irrigating the area with saline and leaving it in place
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