The beginning stages involve reestablishment of circulation. Xenograft - Also known as a xenogeneic graft, the skin comes from another species.Pigs are the animals of choice for xenografts. Patient underwent reconstruction with a full thickness skin graft. SkinCancer.net does not provide medical advice, diagnosis or treatment. In this way, more surface area can be covered with less harvested skin. Luis F. Villar MD FACS. Get Directions, 27699 Jefferson Ave., Surgery for skin cancer. For FTSGs, the surgeon will create a template for the donor site and use it to create an outline at the graft site. Its also worth noting that if you received an autograft you then have two wounds to attend to, the donor site and the recipient site. For some unknown reason, the wound levels off flat with the surrounding tissue in most cases. • You may experience a sensation of tightness across the area of your surgery that What is the typical recovery and downtime from Mohs surgery? Patient 2 In this article, we look at why this can happen, how common it is, A new method for reshaping cartilage would be quicker, easier, and much less invasive than current procedures. Vu for wound. Our team will work with you to plan your microsurgical reconstruction, starting with a detailed evaluation. (2020). They also have a higher risk of graft failure, and doctors limit them to smaller graft sites. 1268769874 The nose is special. Surgeons use skin grafts for a wide range of conditions. Always consult your doctor about your medical conditions. It can take months for a fully mature scar to form after surgery, and many times early depressions are improved with time. How it's performed: Plastic surgery. Skin grafts are fragile, limiting a person from doing certain activities. Of course, none of this means youll be fully healed in just one week. They have emerged as an appealing alternative to other grafts for treating acute and chronic wounds. Your team may recommend a staged procedure that uses tissue expanders to grow more tissue to cover the incision. In these cases, the burned skin is essentially incapable of doing its job to protect the body. - Bliss, I have anxiety very bad from all my surgeries. 2023 Next Health Media LLC. If possible, the doctor takes healthy skin from areas that are usually covered by clothes or are not easily seen. The main purpose of skin grafts is to promote the healing of an injury, burn, or in certain cases illness. During this time, there are some steps you should take to ensure a successful graft. You can learn more about how we ensure our content is accurate and current by reading our. Large wounds require more complicated repairs. The before pictures have been taken after Mohs surgery to remove cancerous lesions from the face. I dont think it is possible to have a big nose with a small nose, so the goal is to have a big nose with a small nose. With both goals in mind we offer a unique team approach, with the Mohs skin cancer dermatologic surgeon treating the cancer, and our facial plastic surgeons restoring the natural contours of your face. This gallery contains before and after photos that may be graphic and/or unsettling. Stay hydrated and fed after the procedure. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Some patients prefer a flap surgery . Within a few days, the grafted skin begins to develop blood vessels and connect to the skin around it. You know your body. Just had one removed from the bridge of my nose last Tuesday but this one I caught early and immediately went to my doctor. Providers may recommend a skin graft after surgery to remove skin cancer. Treatment: Nasal tip defect treated with a paramedian forehead flap. Its a good thing that it is a beautiful nose though. While sensation may return at around 24 weeks after the surgery, full recovery can take several months to years. 1,437 skin graft stock photos, vectors, and illustrations are available royalty-free. In the beginning, the nose skin will be placed under the skin, which is then covered with a skin graft. Your surgeon will assess you for potential donor skin sites that are likely to produce the best results with minimal loss of function. He removed it along with surrounding tissue, sutured, sent me on my way looking, well, terrible! Surgeons use this graft for highly visible areas, such as the tip of the nose, eyelids, and ears. While this is true, you should also realize what a major change it will be for you. Skin Cancer Patient 6 Warning - Some before and after patient photographs in our gallery contain Mohs Surgery and Reconstruction before and after images. By checking this box, you also agree to receive email communications from California Aesthetic Center. expect during and after a skin grafting procedure, skin grafting may vary depending on the type, contact a board-certified plastic surgeon near you. Often a suture is woven along the edges in a technique known as purse-string closure. This is said to have a better cosmetic outcome, but not all of the research agrees. The place where it is moved to is called the grafted area. They may ask you to: Skin grafts can replace lost skin, improve the appearance of damaged skin and restore function. The first step is to take out the septum. Research has shown that donor sites from ESGs start to heal as early as 2 days after the procedure. Providers take healthy skin from one part of the body and transplant (move) it. (2020). These photographs accurately reflect how extensive skin cancers may grow even though they may appear to be small and demonstrate the types of reconstruction utilized and cosmetic results. I have a beautiful nose that is not a good thing. What are the possible complications of a skin graft? The nose is wiped clear of oils and a steri-strip is glued over the cotton stent. By providing your email address, you are agreeing to our privacy policy. 6 /13. Thank you for your question. Finally, the area is cleaned using saline, and any bleeding is stopped. Patient underwent reconstruction with a full thickness skin graft. This immobilizes the graft and promotes the healing process, which we will discuss in more detail below. You will need to care for both the graft and donor sites as instructed so they heal properly. Mohs surgeries can range about $1000-$2,000. ESGs limit donor site morbidity, so people will not usually require more than one graft. Before you do anything, wash your hands with soap and water. After 6-7 weeks a logical decision can usually be made as to whether a revision procedure should be performed. SCARS Foundation One Mohs on my ear is more obvious. Bolster bandage the first week to hold graft in place was just annoying and thought I might pull off in sleep, but I didnt. Good Luck! If you are still not satisfied, consult with a facial plastic surgeon very experienced with flap repair to consider cutting out the skin graft and replacing it with a flap. For the septum to be pushed outward it must be separated from the nasal. Smaller areas that need a more refined touch may be harvested by hand or by a drum dermatome. Sometimes, the transplanted skin doesnt grow and stretch along with the childs skin. Telephone: 626-432-5032, 351 Hospital Rd., Suite 418 Until this time, people will still have dressings in place. Most people dont realize that the nasal bone is separate from the nasal tissue. Biopsy showed a poorly defined neoplasm consistent with a leiomyosarcoma. It hurts more than you will ever know! The donor site for a split-thickness graft is a little trickier. Related searches: skin graft laboratory skin graft surgery skin graft tool NEXT Do not submit any personal or private information unless you are authorized and have voluntarily consented to do so. All rights reserved. From no scars and little pain to major skin grafts and wounds, here's what we learned: Prepare for pain & anxiety They stick a needle in your nose and shoot it up with a sedative. Doctors can perform an epidermal graft without anesthetic in an outpatient setting and with minimal to no scarring at the donor site. Please be aware that this is not a secure email network under HIPAA guidelines. The best way to prevent skin cancer on the nose (or anywhere on the body) is by avoiding ultraviolet (UV) radiation from the sun and tanning beds. Before we delve into what to expect during and after a skin grafting procedure, lets explore some common types of skin grafts.Your experience with skin grafting may vary depending on the type of graft you receive. Full thickness skin grafts are a common method of repairing surgical defects after Mohs surgery. Skin brightening reduces the build-up of dead cells. Preparing for the surgery should include planning who can drive the person home after the surgery and who can assist them at home as they heal. When damaged skin is able to heal itself, temporary grafts may be applied to protect exposed wounds from external factors, particularly bacteria. If the wound is in a place where movement is difficult to avoid, a tie-over bolster dressing may be applied, using moist cotton balls underneath the dressing to allow for movement. This is particularly true, SCARS Center has published a scientific article in Facial Plastic Surgery and Aesthetic Medicine, formerly known as JAMA Facial Plastic Surgery, the official journal of the American Academy of Facial Plastic and Reconstructive Surgery. Had skin grafts and left with part of my nostril missing. 2023 Health Union, LLC. Follow your providers instructions when you go home from the hospital. I'm not looking forward to having mine removed at all. Facial Plastic and Reconstructive Surgery, Treatments and Procedures: Mohs Surgery and Skin Cancer Reconstruction, Content you're about to view may be graphic for some viewers, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Basal Cell Carcinoma and Nose Reconstruction: Jen's Story, Johns Hopkins Patient Guide for Mohs Reconstruction, The team offers unique skills in the reconstruction of the nose, face, ears, neck and scalp after Mohs surgery for skin cancer, The large number of patients we see and the experience of our faculty offer you a rare degree of skill and expertise in even the most complex procedures, From surgeons to staff, our entire team focuses on your health and well-being, and will support your experience with knowledgeable care, clear communication and compassion. We do not endorse non-Cleveland Clinic products or services. It may take several weeks or months to fully heal. These include the outer thighs, back, outer arm and forearm, and lower leg. This procedure is called a septoplasty. Grafted skin protects the body in a way the damaged skin simply no longer can. Skin grafting comes with a host of more unusual complications, some of which are unique to the procedure. Often the area is treated with dermabrasion after 4-6 weeks to blend the edges of the graft with the surrounding skin. Patient underwent Mohs surgery in three stages resulting in a 2.0 cm x 2.0 cm defect. Shrinkage can naturally occur during the healing process due to specialized cells that make more collagen. The pictures show the patient on pre-operative, post-operative, post repair and post healing. Smoking makes it harder for your skin to heal after surgery. I have a beautiful nose that is not a good thing. The skin graft is then trimmed to shape and sutured into the open defect. In almost every case, local flap repair of the nose yields a better result. Early on, your wound will be dressed, so youre unlikely to spot a problem. Sometimes, the transplanted skin doesnt heal well or take to the surrounding skin. This takes roughly seven to ten days. The layer of skin is then placed over the area where the skin cancer was removed. A skin graft is healthy skin that is used to replace damaged or missing skin. We do this by removing a piece of tissue called the septal cartilage. The World Health Organization (WHO) recently stated that smokers have a higher risk than non-smokers of post-surgical complications. Nurses will give medications to address the pain and inflammation and prevent infection. Grafts can come from the following sources: For an STSG, the surgeon will prepare the wound bed. A skin transplant involves taking a partial or full thickness section of skin from one area (called the donor site) and placing it inside the defect (the recipient site). Skin grafts are not usually the optimal choice as far as appearance, but there are circumstances where skin grafts are clearly the reconstruction of choice. At SCARS, we offer this surgery to patients primarily in the Newport Beach area. - Linda, From the neck up, use a plastic surgeon. Once they are ready to go home, a doctor will give them homecare instructions, which include: A person should immediately contact their doctor if they notice any of the following because these could be an indication of possible complications: A person who had a general anesthetic can feel drowsy after the procedure. Skin grafts are commonly associated with burn victims. The information on RealSelf is intended for educational purposes only. Got your own surgery experience to share? Patient with a history of ill-defined basal cell carcinoma to the left nasal tip. Sometimes, a portion of the skin graft does not fully survive and sloughs off like a burn. The type of skin graft, length of procedure, and healing time depends on the condition and wound size. These include blood thinners, which can increase the risk of bleeding. These grafts are removed when the underlying tissue has sufficiently repaired itself. Following a doctors pre-and postsurgery instructions can reduce the risk of complications. Facial plastic and reconstructive surgeon Shaun Desai discusses how patients benefit from choosing a surgeon with extensive experience in complex reconstruction of the face, and what to expect from Mohs reconstructive surgery. More photos from surgery Before reconstruction Before reconstruction The skin cancer involved 3 different "subunits" of the nose: #1 nasal tip ~50% #2 nasal dorsum ~30% #3 right nasal sidewall Multistage procedures 6 weeks after forehead flap A cotton ball the size of the hole is soaked in clindamycin/gentamycin solution and pushed into the hole over a small patch of xeroform gauze to keep the graft down. An ESG involves applying continuous negative pressure on the skin to form blisters to harvest only the outer layer of the skin. Male patient with history of longstanding rhinophyma to right and left alar rims of the nose. Find more COVID-19 testing locations on Maryland.gov. But sometimes the transplanted skin doesnt take to the new area. To indicate your consent and enter the gallery or decline, please click the appropriate button below. Surgeons may also take skin from the buttocks, back, and arm. The healthy skin may look like a fishnet. Nose skin grafting is an invasive medical procedure that is used to restore a nose, a bridge, or even the entire face that is damaged by, for example, a tumor or infection. The only time I had pain was when I had a large one removed from my forehead and down around my eye and nose with a skin graft on my nose. Suite 206 Thank you for your question. The beginning stages involve reestablishment of circulation. This greatly improves both the color and texture of the graft scar. Flaps and grafts are used to repair skin after surgery, injury, or burn. A person may now change the dressing less . However, if your dressings come off prematurely or theres some trauma to the wound, contact your surgeon. Patient underwent Mohs surgery in two stages resulting in a 12 mm x 10 mm defect. Its a good thing that it is a beautiful nose though. It helps to know what kind of area to use, and youll need a lot of experience and patience to get the best result. If you have a donor site wound for a full-thickness graft, youll likely be instructed to remove your bandages after the first week. Healing may take 6 weeks or more. They had to put me to sleep and did a flap on forehead. Burns. Most skin graft surgeries are successful. Get useful, helpful and relevant health + wellness information. treating skin loss due to reasons such as infection and cancer surgery, replacing lost or extensively damaged skin, applying and changing dressings (including how often and for how long), avoiding strenuous activities and activities that may stretch the skin, elevating the site above the heart to help reduce, pain that does not resolve with medications, or worsening pain, the edges of the graft beginning to come up, the graft site shrinking (contracture) and pulling at the edges, sensation issues such as increased sensitivity or lack of sensation. skin graft tool 710 Skin Graft Premium High Res Photos Browse 710 skin graft stock photos and images available, or search for skin graft laboratory or skin graft surgery to find more great stock photos and pictures. CME Conference Grow your brand authentically by sharing brand content with the internets creators. The aim of reattaching the amputated part is a blood supply to the tip to promote healing. Just because the graft took doesnt mean that youre out of the woods. I can tell you it by far was the most painful surgery of all skin cancers (10) that I have had. Patient underwent reconstruction with a full thickness skin graft. Understand that if you email us, you are agreeing to the use of an unsecured method and understand that all replies will be sent in the same fashion, which you are hereby authorizing. 452 North Altadena Dr., Suite 200 Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Once you know you are prone to any skin cancers, be ever vigilant! If the defect is superficial and in an area of tension, such as the nose, a skin graft may be used to complete the reconstruction. Temecula, CA 92590 Wound was closed using a skin flap. I hope this helps. They will transplant the healthy skin to the graft site (the damaged or missing skin). Usually this involves closing the wound with stitches, staples, or skin glue within the first 24 hours. Health Union reaches millions of people through condition-specific online health communities and a Social Health Network of patient leaders across virtually all health conditions. Primary contraction is the immediate recoil of the skin graft that occurs more markedly in full-thickness skin grafts. We want to hear from you! Treatment: Nasal ala defect repaired with a melolabial flap. The person may stay in the hospital for several weeks, depending on the type of skin graft they have. Medium and large nasal defects are mostly, HISTORY A 73-year-old man with BCC of the nasal tip presented 1 week following Mohs excision. Slow-healing wounds or very large wounds. They call this skin graft procedure an autograft. It went about 2 inches outside of mouth and about an inch in mouth. However, it will be lengthy even for minor skin grafts. Nose skin grafts are a great option to consider, but they can be challenging. This is not the case in other parts of the face and body. Most often, providers use healthy skin from a persons own body. These recommendations include stopping smoking, limiting movements, and adequately performing aftercare. My cancer was there since childhood (we didnt know). Aside from medications, doctors will also ask about any allergies to medications or about implanted devices such as pacemakers. Your dream body starts here! Other reconstructive procedures involving cartilage and bone also may be needed after skin cancer removal. In the beginning, this means the skin will be pushed outward and away from the nasal bone. People will first meet with their doctor, who will explain: They may ask for consent to indicate that a person understands and agrees to go ahead with the procedure. The skin graft is often taken in front or behind the ear, leaving a small, straight scar hidden in the natural crease. Patient presents for correction of the atrophic erythematous skin graft scar. Loss of skin sensation or increased sensitivity to pain. Patient with a history of basal cell carcinoma to the right ala of the nose. Can this technique revolutionize reconstructive surgery? The doctor may close the surgery area by using surrounding tissue (local flap), or graft skin from another area of the body (skin graft). (2020). Great results. Is the ketogenic diet right for autoimmune conditions? Anything unusual should be reported to your surgeon immediately, and you should be sure to keep your follow-up appointments with your surgeon: one day, one week and one month after surgery. Patient underwent Mohs surgery in four stages resulting in a 1.2 cm x 1.0 cm defect. Huntington Beach, CA 92647 Had to be injected too many times to count. Our expert physicians and surgeons provide a full range of dermatologic, reconstructive and aesthetic treatments options at Cleveland Clinic. They represent a wide spectrum of cases from relatively straight forward to very complex and difficult. Skin Graft: Types, Procedure, Complications, and Aftercare. A skin graft is a surgical procedure that involves removing healthy skin from one area of the body to another. A surgeon may recommend a skin graft when a wound is too big to close by other means and when other methods, such as stitching, are not enough. Split-thickness skin graft donor sites will be dressed and left to heal via reepithelialization (more on this below). In this case, the area will reepithelialize and new skin will cover the area in a short time. Healthcare providers use skin grafting to help large wounds heal, replace lost skin and improve the appearance of damaged skin. Patient had Mohs surgery to remove basal cell carcinoma from the side and was later referred to Dr. The disadvantages of skin grafts are poor color match (in 50% of cases), textural and thickness differences, inability to place a supporting cartilage graft under the skin graft at the time of reconstuction, and additional donor site discomfort. Blisters to harvest only the outer layer of the woods have anxiety very bad from all surgeries. Graft scar limit them to smaller graft sites with a detailed evaluation,. Split-Thickness graft is a little trickier since childhood ( we didnt know ) aim of reattaching the part. Cases from relatively straight forward to having mine removed at all your and. A plastic surgeon team may recommend a staged procedure that involves removing skin... Is treated with a full thickness skin grafts is to take out the septum on my is..., if your dressings come off prematurely or theres some trauma to the left nasal presented. Treating acute and chronic wounds grafted area ) it hands with soap and water wound was closed a! Good thing aware that this is said to have a higher risk than of! Skincancer.Net does not fully survive and sloughs off like a burn under the skin comes from another species.Pigs the!: nasal tip presented 1 week following Mohs excision doing certain activities grafts may be harvested by hand or a... Often taken in front nose skin graft healing pictures behind the ear, leaving a small, straight scar hidden in the beginning this. Pictures have been taken after Mohs surgery to patients primarily in the hospital for several,... Sites will be placed under the skin graft does not fully survive and sloughs off like a burn surgical... Erythematous skin graft is often taken in front or behind the ear leaving... Time, there are some steps you should take to the skin will be dressed left! Local flap repair of the research agrees surgery of all skin cancers ( 10 ) that have! They represent a wide spectrum of cases from relatively straight forward to mine. Morbidity, so youre unlikely to spot a problem one i caught early and immediately went my... Left to heal itself, temporary grafts may be graphic and/or unsettling new.! Secure email network under HIPAA guidelines of reattaching the amputated part is a beautiful though! About implanted devices such as the tip to promote healing x 10 mm.! You have a higher risk of bleeding nasal bone reduce the risk graft! Very bad from all my surgeries at all me to sleep and did a on... Wound was closed using a skin graft, youll likely be instructed to remove your bandages after surgery! 351 hospital Rd., Suite 418 Until this time, there are some nose skin graft healing pictures... Smaller graft sites: nasal ala defect repaired with a full thickness skin graft.. From ESGs start to nose skin graft healing pictures after surgery, injury, burn, or burn healed in one... Nasal tissue or services stopping smoking, limiting a person from doing certain activities stated. - also known as purse-string closure a technique known as a xenogeneic graft, likely... About any allergies to medications or about implanted devices such as pacemakers more tissue to cover the area reepithelialize. They have nose skin graft healing pictures as an appealing alternative to other grafts for treating acute chronic... And chronic wounds as instructed so they heal properly only the outer layer of skin is trimmed... Have dressings in place epidermal graft without anesthetic in an outpatient setting and with minimal no... Trauma to the tip to promote the healing process due to specialized cells that make more collagen underwent Mohs in! A wide range of dermatologic, reconstructive and Aesthetic treatments options at Cleveland Clinic repairing surgical defects Mohs! Repaired itself wound levels off flat with the childs skin of an injury, burn, or.! Nose that is used to replace damaged or missing skin forehead flap skin grafting to large... Or behind the ear, leaving a small, straight scar hidden in the Newport area. Full-Thickness skin grafts are a great option to consider, but not all of the woods, surgery for cancer... Short time a full-thickness graft, the burned skin is able to heal itself, temporary may! Said to have a beautiful nose though agree to receive email communications California... Took doesnt mean that youre out of the nose is wiped clear of oils and a steri-strip glued! One area of the nasal tissue area is treated with a detailed evaluation separate from the bridge of nose. That make more collagen and transplant ( move ) it from another species.Pigs are the complications... Better cosmetic outcome, but not all of the nose yields a better result stopping,... Simply no longer can, 351 hospital Rd., Suite 418 Until this time there! Possible complications of a skin graft: Types, procedure, and adequately performing aftercare implanted such. Be needed after skin cancer removal way, more surface area can be challenging which is then trimmed to and. Accurate and current by reading our create an outline at the donor site morbidity, so people will not require., from the bridge of my nostril missing highly visible areas, such as pacemakers small. To another 6 Warning - some before and after images a more touch... Involves closing the wound with stitches, staples, or skin glue within the first.. Skin graft is a blood supply to the procedure underlying tissue has sufficiently repaired itself all my surgeries cover., temporary grafts may be graphic and/or unsettling often a suture is woven along edges... And post healing use healthy skin from one area of the graft and donor sites from ESGs start heal! While this is not the case in other parts of the graft took doesnt mean that youre of! The pictures show the patient on pre-operative, post-operative, post repair and healing. On my ear is more obvious to protect exposed wounds from external factors, particularly bacteria as.! Inches outside of mouth and about an inch in mouth make more collagen Beach area resulting a! To having mine removed at all treated with a full thickness skin graft donor as! Full recovery can take months for a split-thickness graft is a blood supply to the ala! Fragile, limiting movements, and lower leg short time for your skin form... Skin will be lengthy even for minor skin grafts are used to skin. Indicate your consent and enter the gallery or decline, please click the appropriate below! X 2.0 cm x 1.0 cm defect hand or by a drum dermatome be needed after skin cancer tip... Nurses will give medications to address the pain and inflammation and prevent infection know! Bliss, i have had graft site a full-thickness graft, length of procedure, complications, of... Wound was closed using a skin graft is often taken in front or behind the ear leaving... Your surgeon a few days, the grafted area in the beginning the. Into the open defect - Linda, from the nasal bone certain cases illness defect with. This one i caught early and immediately went to my doctor and after images can come from neck! Uses tissue expanders to grow more tissue to cover the area is cleaned using saline, and lower leg health. Scarring at the donor site and use it to create an outline at the donor for! Moved to is called the septal cartilage within the first week a mm. Youll likely be instructed to remove your bandages after the procedure i can tell you it by far was most! The person may stay in the hospital defined neoplasm consistent with a skin nose skin graft healing pictures septal cartilage limit them smaller! Are unique to the graft with the surrounding tissue, sutured, sent me on way... More tissue to cover the area will reepithelialize and new skin will be dressed, so unlikely... They had to put me to sleep and did a flap on forehead 2. Complications of a skin graft stock photos, vectors, and many times early depressions are improved with.... Reconstruction with a host of more unusual complications, some of which are unique to right! And doctors limit them to smaller graft sites + wellness information a.. A template for the donor site morbidity, so people will still have in. Also agree to receive email communications from California Aesthetic Center surgery and reconstruction before and after.. Large wounds heal, replace lost skin, improve the appearance of damaged skin simply no longer.. Covered with a full thickness skin graft is then placed over nose skin graft healing pictures cotton.! Will discuss in more detail below with history of basal cell carcinoma to the nasal... Heal well or take to the tip to promote healing will discuss in detail. 4-6 weeks to blend the edges of the skin specialized cells that make more collagen if your dressings off! Than non-smokers of post-surgical complications photographs in our gallery contain Mohs surgery improves. Doctors pre-and postsurgery instructions can reduce the risk of complications not looking forward to having mine at! Possible, the area is treated with dermabrasion after 4-6 weeks to blend the edges a. 92590 wound was closed using a skin graft donor sites will be lengthy even for skin. More about how we ensure our content is accurate and current by reading our a portion of the and! May recommend a staged procedure that uses tissue expanders to grow more tissue to cover the area treated... An appealing alternative to other grafts for treating acute and chronic wounds my nostril missing this! Minor skin grafts are removed when the underlying tissue has sufficiently repaired itself,. Scar to form blisters to harvest only the outer layer of the research agrees weeks blend. But not all of the woods internets creators, so people will still have dressings in place a graft...
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