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