Abstract

OBJECTIVES:To analyze the histology and histomorphometry of healing associated with acellular dermal matrix in skin wounds in rabbits.METHODS:Twelve male rabbits were divided into two groups: the control group (CG) and the matrix group (MG). Three skin wounds with a total area of 20 × 20 mm were created on the dorsal region of each animal. Photographic records of the lesions taken over a 21-day period and use of the ImageJ program allowed calculation of the wound contraction rate. The lesions were biopsied on days 3, 14 and 21 for histomorphometric analysis to define the thicknesses of the dermis and epidermis (hematoxylin-eosin) and calculate the densities of type I and type III collagen (picrosirius).RESULTS:No significant difference in the healing rate was found between the groups (p>0.05). The MG presented greater epidermal thickness on day 3 (p<0.05) and on days 14 and 21 (p<0.001). The MG presented greater dermal thickness throughout the study period (p<0.05). The type I collagen density was higher in the MG throughout the study period (p<0.05), and the type III collagen density was higher in the MG on days 3 and 14 (p<0.05) and on day 21 (p<0.001).CONCLUSION:The use of acellular dermal matrix increased the thickness of the dermal and epidermal layers and the amount of type I and III collagen during skin wound healing and did not alter the rate of wound contraction.

Highlights

  • Whole and healthy skin is critical for maintaining homeostasis

  • Complete wound healing occurred in 20 days, and there was no significant difference at any timepoint during the evaluation (p40.05)

  • Biocompatible matrices can simulate the extracellular matrix of native tissue, providing a porous structure and an environment favorable to cell growth, proliferation and differentiation, which are partly responsible for wound healing [22]

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Summary

Introduction

Whole and healthy skin is critical for maintaining homeostasis It plays an important role in protecting against infections, in thermal regulation and in water balance. Conventional surgical treatments with autogenous or autologous grafts are able to replace the skin in damaged areas but result in a new wound at the patient’s donor site.

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