Long-term Scar Quality after Treatment of Standardized Partial-Thickness Skin Graft Donor Sites

The long-term aesthetic appearance of scars is of great importance to patients. Biobrane (Smith and Nephew, Fort Worth, Texas), a biosynthetic skin dressing, is a successfully established dressing for the treatment of superficial wounds. A new silk barrier dressing (Dressilk; Prevor, Moulin de Vervi...

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Published inAdvances in skin & wound care Vol. 31; no. 3; p. 109
Main Authors Schulz, Alexandra, Rothermund, Irene, Lefering, Rolf, Fuchs, Paul Christian, Schiefer, Jennifer
Format Journal Article
LanguageEnglish
Published United States 01.03.2018
Subjects
Adult
Biological Dressings
Burns - complications
Burns - surgery
Cicatrix - etiology
Cicatrix - prevention & control
Coated Materials, Biocompatible - therapeutic use
Cohort Studies
Esthetics
Female
Humans
Injury Severity Score
Male
Middle Aged
Retrospective Studies
Risk Assessment
Silk - therapeutic use
Skin Transplantation - adverse effects
Skin Transplantation - methods
Treatment Outcome
Wound Healing - physiology
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Summary:The long-term aesthetic appearance of scars is of great importance to patients. Biobrane (Smith and Nephew, Fort Worth, Texas), a biosynthetic skin dressing, is a successfully established dressing for the treatment of superficial wounds. A new silk barrier dressing (Dressilk; Prevor, Moulin de Verville, France) has also shown good results in wound healing. This study evaluated the long-term scar quality of superficial wounds treated with these dressings. From February 2012 to May 2013, 11 patients with burns in need of skin grafting received donor site treatment. Study authors dressed 2 adjacent, standardized, partial-thickness skin graft donor sites on each participant with Biobrane or Dressilk. Scar formation on both treated areas was compared 24 months after initial application using subjective and objective assessment methods. Independent of treatment, the majority of the patients described scar quality similar to normal skin using subjective and objective evaluation tools. However, for scar perfusion, significantly lower oxygen saturation was shown in both treated areas compared with untreated skin. Comparatively, the 2 wound dressings showed similar results, making silk dressings an interesting alternative to biosynthetic ones.
ISSN:1538-8654
DOI:10.1097/01.ASW.0000527287.28216.65