Surviving an Extensive Burn Injury Using Advanced Skin Replacement Technologies

Author:

Kelly Charis1,Wallace David12,Moulin Veronique3,Germain Lucie3,Zuccaro Jennifer1ORCID,Galdyn Izabela1,Fish Joel S12

Affiliation:

1. Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada

2. Division of Plastic, Reconstructive, and Aesthetic Surgery, University of Toronto Faculty of Medicine, Ontario, Canada

3. CHU of Québec-Laval University Research Center and Center of Research in Experimental Organogenesis of Laval University/LOEX, Québec, Canada

Abstract

Abstract There have been significant improvements in the technology available for treating extensive burns in the past decade. This case presents two unique, skin replacement technologies that were used to treat an 86% surface area flame burn in a pediatric patient. A temporary dermal replacement, known as “Novosorb™ Biodegradable Temporizing Matrix” was first used to stabilize the burn injury and remained in place for approximately 3 months. Given the large burn size and lack of available donor skin for grafting, a permanent skin replacement product known as “Self-Assembled Skin Substitute (SASS)” was then utilized to cover the burns. SASS is a novel technology that was developed to replace skin as an autologous skin graft and is currently available in Canada through a clinical trial for major burns. Ultimately, the concurrent use of these two technologies allowed for the unprecedented survival of a child following an extensive and life-threatening burn injury.

Funder

Canadian Institutes of Health Research

Stem Cell Network

Publisher

Oxford University Press (OUP)

Subject

Rehabilitation,Emergency Medicine,Surgery

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