Document Detail


Reconstruction of burn scar of the upper extremities with artificial skin.
MedLine Citation:
PMID:  11496178     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The management of upper-extremity burn contractures is a major challenge for plastic surgeons. After approval by the Food and Drug Administration, artificial skin (Integra) has been available in Taiwan since 1997. From January of 1997 to July of 1999, the authors applied artificial skin to 13 severely burned patients for the reconstruction of their upper extremities, resulting in an increased range of motion in the upper-extremity joints and improved skin quality. An additional benefit was the rapid reepithelialization of the donor sites. There were no complications of infection throughout the therapeutic course, and the overall results were satisfactory. During the 2-year study, scar condition was monitored between 8 and 24 months, and a good appearance and pliable skin were obtained according to the Vancouver Scar Scale. According to this evaluation of Oriental skin turgor, normal pigmentation was restored about 6 months after the resurfacing procedure. For patients with severe burns in whom there is insufficient available skin for a full-thickness skin graft or another appropriate flap for scar revision, Integra is an alternative. The two major concerns in dealing with artificial skin are (1) a 10- to 14-day waiting period for maturation of the neo-dermis, necessitating a two-stage operation, and (2) prevention of infection with antibiotics and meticulous wound care.
Authors:
T D Chou; S L Chen; T W Lee; S G Chen; T Y Cheng; C H Lee; T M Chen; H J Wang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  108     ISSN:  0032-1052     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2001 Aug 
Date Detail:
Created Date:  2001-08-09     Completed Date:  2001-08-23     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  378-84: discussion 385     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Arm Injuries / pathology,  surgery*
Burns / complications*,  pathology
Cicatrix / etiology,  pathology,  surgery*
Contracture / etiology,  surgery
Female
Humans
Joints / physiopathology
Male
Middle Aged
Range of Motion, Articular
Reconstructive Surgical Procedures / methods
Skin / pathology
Skin, Artificial*
Comments/Corrections
Comment In:
Plast Reconstr Surg. 2002 Apr 15;109(5):1764-6   [PMID:  11932652 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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