Guang Ho Christopher Wei, See Jia Le, Yang Shi-Hui, Tan Bien Keem
Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore.
Department of General Surgery, Singapore General Hospital, Singapore.
World J Plast Surg. 2021 Jan;10(1):119-124. doi: 10.29252/wjps.10.1.119.
Biobrane is a popular biosynthetic semi-permeable skin substitute conventionally applied onto non-excised partial thickness burn wounds to facilitate healing. The use of Biobrane for definitive coverage after excision of partial-thickness thermal burns has not been reported. We highlighted our experience of immediate Biobrane application for definitive coverage of tangentially-excised partial thickness thermal burn wounds in four patients. This technique is safe and efficient, minimizes painful and costly dressing changes, avoids the complications associated with autologous skin grafting, and eliminates the unpredictability of burns wound conversion. We believe this method expands the indications for Biobrane usage, accelerates wound healing, and provides better aesthetic outcomes.
生物膜是一种常用的生物合成半透性皮肤替代物，通常应用于未切除的浅度烧伤创面以促进愈合。生物膜用于切痂后深度烧伤创面的确定性覆盖尚未见报道。我们重点介绍了4例患者在削痂后立即应用生物膜进行浅度烧伤创面确定性覆盖的经验。该技术安全有效，可减少痛苦且昂贵的换药次数，避免自体皮移植相关并发症，并消除烧伤创面转变的不可预测性。我们认为这种方法扩大了生物膜的应用指征，加速了创面愈合，并提供了更好的美学效果。
