Journal Article

330 A Case of Successful Reconstruction of Facial Chemical Burn by Using Biodegradable Temporising Matrix

X Liu, W Hickerson and S Velamuri

in Journal of Burn Care & Research

Volume 39, issue suppl_1, pages S135-S135
Published in print April 2018 | ISSN: 1559-047X
Published online April 2018 | e-ISSN: 1559-0488 | DOI: http://dx.doi.org/10.1093/jbcr/iry006.252
330 A Case of Successful Reconstruction of Facial Chemical Burn by Using Biodegradable Temporising Matrix

More Like This

Show all results sharing these subjects:

  • Medicine and Health
  • Acute Medicine
  • Emergency Medicine
  • Critical Care
  • Surgery

GO

Show Summary Details

Preview

Abstract

Introduction

Management of full thickness facial burns still remains a challenge in burn care. Considering the significance of facial aesthetics and function, a simple split thickness skin graft(STSG) coverage may not achieve the best result. Adding a dermal matrix could potentially improve the aesthetic result. In patients with an unknown chemical source of injury and multiple bacterial/fungal infections, many surgeons are reluctant to utilize a dermal matrix because of the risk of infection and subsequent loss of the matrix. Biodegradable temporising matrix(BTM) is a synthetic polyurethane dermal substitute which does not contain any sensitizing proteins. According to the published literature, BTM is more resistant to infections. There is no published case for BTM application in a facial burn. We present our preliminary results of a case with a facial chemical burn reconstructed with BTM and STSG.

Methods

A comprehensive review of a case of pan facial full thickness chemical burn reconstructed by BTM with STSG. The surgical techniques and follow up result are explained in detail.

Results

A 38 year old female with full thickness facial burns from unknown acid/alkalai was transferred to our burn unit from overseas. Wound cultures showed multiple bacteria/ fungus infection including enterobacter, methicillin resistant staph aureus, klebsiella pneumoniae, pseudomonas aeruginosa, rare gram positive cocci and candida parapsilosis. Following complete burn wound excision, the BTM was placed over the face. After 4 weeks of revascularization, the STSG was applied and dressed with Xeroform. 100% graft-take was achieved. The skin graft showed a robust, mobile quality and acceptable appearance during 3 months follow up.

Conclusions

Using BTM with STSG is an effective method to reconstruct full thickness facial burns. This is the first report of BTM application employed in facial burn reconstruction.

Applicability of Research to Practice

Highly likely.

Journal Article.  0 words. 

Subjects: Medicine and Health ; Acute Medicine ; Emergency Medicine ; Critical Care ; Surgery

Full text: subscription required

How to subscribe Recommend to my Librarian

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content.