Treatment of a full-thickness skin lesion in a prematurely born infant. Integra® Bilayer for bridging to skin grafting until epidermal maturation allows safe harvesting. A rare case
| Autor: | Matthias Rab, Maximilian Neuwirth, Claudia Kanduth, Michel Mueller-Eggenberger, Christian Breschan |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
integumentary system Side effect Skin grafting in premature neonates RC86-88.9 business.industry Bilayer medicine.medical_treatment Neonatal skin development Skin harvesting in neonates Dermal substitute in premature infants Medical emergencies. Critical care. Intensive care. First aid Dermatology General Medicine Surgery Lesion RL1-803 Rare case Full thickness skin Medicine Skin grafting medicine.symptom business Neonatal skin Central venous catheter |
| Zdroj: | Burns Open, Vol 5, Iss 3, Pp 141-144 (2021) |
| ISSN: | 2468-9122 |
| DOI: | 10.1016/j.burnso.2021.05.003 |
| Popis: | We report a case of a highly premature born infant in the 24th week of gestation that suffered from an extravasation injury. A central venous catheter caused a large full-thickness defect at the chest. Coverage was necessary and provided by using a split skin graft; however, at this age dermal maturation is not completed and the skin is much thinner and less functional in terms of mechanical strength and epidermal layering. When harvesting skin, this may result in secondary defects. The authors describe the successful and novel use of a dermal substitute with a superficial silicon layer (Integra® Bilayer) to bridge the time until neonatal skin development allows safe skin harvesting. A positive side effect is that the use of this dermal substitute also improved the scar quality in the premature infant. |
| Databáze: | OpenAIRE |
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