EWMA 2014 - EP383 SYNTHETIC SKIN SUBSTITUTES IN THE TREATMENT OF CHILDREN WITH DEEP BURNS

Moscow Scientific Institute of Pediatrics and Children Surgery Speransky Children Hospital, Moscow, Russia

Synthetic skin substitutes in the treatment of children with deep burns.

Ludmila Budkevich, Tatyana Koroleva

Suprathel®

2012-2013 years 20 children with deep dermal burns with hot liquid

Age from 7 months to 3 years

From 2 to 30% TBSA

Sex

BoysGirls

12 8

Location of deep dermal burns:

Chest 9

Stomach 8

Upper extremities 2

Lower extremities 7

Neck 2

TBSA of deep dermal burns:

2-15% = 35 – 240 sm2

Performed surgical operation: Tangential necrectomy

+ Skin grafting of a 1:4 meshed

Results on follow-up :

Antera 3D®

0

0,05

0,1

0,15

0,2

0,25

0,3

0,35

After 2month

After 6month

After 12month

Zone A

Zone B

Normal skin

Study of hemoglobin level and its distribution in the rumen using the apparatus «Antera 3D»:

Mean hemoglobin level in the scar The distribution of the hemoglobin in the scar

0

0,5

1

1,5

2

2,5

After 2month

After 6month

After 12month

Results on follow-up :

Antera 3D®

0

0,01

0,02

0,03

0,04

0,05

0,06

0,07

After 2month

After 6month

After 12month

Zone A

Zone B

Normal skin

Study of melanin level and its distribution in the rumen using the apparatus «Antera 3D»:

Mean melanin level in the scar The distribution of the melanin in the scar

0

0,05

0,1

0,15

0,2

0,25

0,3

0,35

0,4

After 2month

After 6month

After 12month

A child aged 1-year old with deep dermal burn 10% TBSA

7 days after operation

6 months after operation

A burn wound

Zone A

Zone B