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Abstract
In the treatment of extensive burns, cultured epithelial autograph (CEA) became available commercially in Japan from 2009. Based on the 6 years multicenter surveillance data on using CEA for extensive burns, it is reported that using 6:1 split thickness skin graft together with CEA is successful after wound bed preparation for extensive deep dermal burn or patients with deep burn [1].
Highlights
Open AccessThis paper reports a rare case where we can get successful outcome clinically and pathologically if the patient was treated strategically using artificial dermis together with cultured epithelial autograph (CEA) without split thickness skin graft after wound bed preparation for extensive deep dermal burn
Based on the 6 years multicenter surveillance data on using CEA for extensive burns, it is reported that using 6:1 split thickness skin graft together with CEA is successful after wound bed preparation for extensive deep dermal burn or patients with deep burn [1]
Matsumura [1] et al described that wound bed preparation before using CEA for extensive burns helps with epithelization
Summary
This paper reports a rare case where we can get successful outcome clinically and pathologically if the patient was treated strategically using artificial dermis together with CEA without split thickness skin graft after wound bed preparation for extensive deep dermal burn. 6:1 split thickness skin autograft together with CEA is useful and recommended for deep dermal burn. We tried and succeeded another strategy for extensive burns implanting CEA without split thickness skin autograft, using artificial dermis for wound bed preparation. It suggests that this strategy may result in good epithelialization on the wound bed prepared with artificial dermis
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