Details

Autor(en) / Beteiligte

• van Zuijlen, Paul P. M
• Vloemans, Jos F. P. M
• van Trier, Antoine J. M
• Suijker, Monique H
• van Unen, Ella
• Groenevelt, Frits
• Kreis, Robert W
• Middelkoop, Esther

Titel

Dermal Substitution in Acute Burns and Reconstructive Surgery: A Subjective and Objective Long-Term Follow-Up

Ist Teil von

• Plastic and reconstructive surgery (1963), 2001-12, Vol.108 (7), p.1938-1946

Ort / Verlag

Hagerstown, MD: American Society of Plastic Surgeons

Erscheinungsjahr

2001

Quelle

MEDLINE

Beschreibungen/Notizen

• Tissue engineering and dermal substitution are currently prominent topics of wound-healing research. However, no extensive clinical trials with objective evaluation criteria have been published so far that support the clinical effectiveness of dermal equivalents in the long term. The dermal substitute that is discussed here is derived from bovine collagen and elastin-hydrolysate and has been shown to improve skin elasticity during a short-term clinical follow-up of scar reconstructions. In this study we will present the long-term outcome by means of objective and subjective scar assessment tools for dermal substitution in acute burn wounds and scar reconstructions.In a clinical trial, an intraindividual comparison was performed between the conventional split-thickness autograft and a combination of the collagen/elastin substitute with an autograft. After 1 year, scars were evaluated by the Cutometer SEM 474 for objective elasticity measurements and by planimetry to establish scar contraction. An independent observer subjected scars to a generally accepted clinical scar assessment toolthe Vancouver Scar Scale. In addition, patients gave their impression of the outcome. Forty-two paired burn wounds and 44 paired scar reconstructions were included and evaluated 1 year after surgery.Although substituted scar reconstructions demonstrated an elasticity improvement of approximately 20 percent compared with control wounds, no statistically significant differences were found for skin elasticity, scar contraction, Vancouver Scar Scale, and patientʼs impression in both categories after 1 year. An extensive long-term follow-up shows that the dermal substitute, which was proven effective in a clinical trial on a short-term basis, did not yield statistical evidence for a long-term clinical effectiveness of dermal substitution. (Plast. Reconstr. Surg. 1081938, 2001.)