Alberta A. Rockson , Natalie Benjamin-Damons , Sonti Imogene Pilusa
{"title":"Healthcare Practitioners’ perspectives on paediatric burns management at Korle Bu Teaching Hospital, Ghana","authors":"Alberta A. Rockson , Natalie Benjamin-Damons , Sonti Imogene Pilusa","doi":"10.1016/j.burnso.2024.100387","DOIUrl":"10.1016/j.burnso.2024.100387","url":null,"abstract":"<div><h3>Background</h3><div>Paediatric burns pose significant challenges in healthcare management. Paediatric burns require specialized care due to the distinct anatomical and physiological characteristics of children, which make them more vulnerable to complications. In resource-limited settings like Ghana, the absence of adequate supplies and standardized protocols can exacerbate these challenges, necessitating the need for a comprehensive understanding of the perspectives of healthcare practitioners involved in their care.</div><div>Study Objective.</div><div>To explore healthcare practitioners’ perspectives on paediatric burns management at a tertiary hospital, Ghana, covering current practices, barriers, impacts on patients and families, and recommendations for improvement.</div></div><div><h3>Methodology</h3><div>This study employed a qualitative research approach utilizing Focus Group Discussion (FGD) with 15 participants from various disciplines, including Plastic Surgery, Medicine, Anaesthetics, Physiotherapy, Occupational Therapy, Dietetics, Nursing, Pharmacy, Clinical Psychology, Public Health Nursing and. Laboratory Scientist. Participants were recruited through a convenience sampling technique. The discussion lasting approximately 90 min, were audio recorded, and facilitated by a discussion guide based on existing literature. The audio recordings were transcribed verbatim, and the transcripts were compared with handwritten notes for accuracy. The final transcribed data were coded and analyzed using thematic content analysis to identify recurring themes and patterns.</div></div><div><h3>Results</h3><div>Findings revealed four primary themes: strengths of current practices (multidisciplinary approach, experienced practitioners), barriers (lack of formal protocols, infrastructure limitations, financial burdens), contextual factors influencing burn care (psychological trauma, inadequate support, socio-cultural beliefs and socioeconomic status), and recommendations for enhancing burns care (improved social welfare, facility upgrades, staff training and mental health support).</div></div><div><h3>Conclusion</h3><div>While burns care has improved in Ghana, there are clear opportunities for improvement. A move towards more integrated care, the development of locally adapted protocols, better financial support, and enhanced caregiver education are essential next steps in elevating the quality of paediatric burn management in Ghana.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"9 ","pages":"Article 100387"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roos F.C. Salemans , Denise van Uden , Ymke Lucas , Anouk Pijpe , Eelke Bosma , Esther Middelkoop , Michiel H.J. Verhofstad , Margriet E. van Baar , Cornelis H. van der Vlies , National Burn Care, Education, Research group, the Netherlands, Dutch Burn Repository group
{"title":"Timing of surgery in acute burn care: A multicentre registry-based cohort study","authors":"Roos F.C. Salemans , Denise van Uden , Ymke Lucas , Anouk Pijpe , Eelke Bosma , Esther Middelkoop , Michiel H.J. Verhofstad , Margriet E. van Baar , Cornelis H. van der Vlies , National Burn Care, Education, Research group, the Netherlands, Dutch Burn Repository group","doi":"10.1016/j.burnso.2024.100391","DOIUrl":"10.1016/j.burnso.2024.100391","url":null,"abstract":"<div><div>Early excision and grafting are standard care for severe burns, though implementation varies globally. In the Netherlands, surgery for moderate and severe burns tends to be relatively late. This study analysed the timing of surgery in Dutch burn care by examining patient, injury and treatment characteristics, and clinical outcomes. A multicentre registry-based cohort study was conducted using data from the Dutch Burn Repository R3 (2009–2021), including adult patients who underwent surgery at a Dutch burn centre. The primary outcome was surgical timing, with patients classified into early (≤7 days) and late surgery (>7 days) groups. Multivariable logistic regression identified predictors of early surgery, while trends in timing were assessed with quantile regression. The median time to surgery was 14 days (Q1–Q3: 9.0–19.0), with 670 of 3291 patients receiving early surgery (20 %). Surgical timing increased slightly over the 13-year period. Predictors of early surgery included older age, larger total body surface area burned, psychiatric medical history, and flame, flash, and contact burns compared to scald burns. This study underscores the nuanced Dutch policy regarding surgery and the influence of burn severity on surgical timing. Further research is needed, focusing on patient-centred outcomes and international perspectives.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"9 ","pages":"Article 100391"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Milly S. van de Warenburg , Sophie A. Riesmeijer , Stefan Hummelink , Dietmar J.O. Ulrich , Mariëlle L.A.W. Vehmeijer-Heeman
{"title":"Burn by battery, the dangers of portable devices − A case report","authors":"Milly S. van de Warenburg , Sophie A. Riesmeijer , Stefan Hummelink , Dietmar J.O. Ulrich , Mariëlle L.A.W. Vehmeijer-Heeman","doi":"10.1016/j.burnso.2024.100388","DOIUrl":"10.1016/j.burnso.2024.100388","url":null,"abstract":"<div><div>Since the introduction of portable electronic devices in the past two decades, reports of burn injuries caused by exploding or leaking batteries have been increasing. We present a case of a 9-year-old patient suffering deep dermal burn wounds due to a power bank malfunctioning, highlighting the potential dangers associated with these devices. This case appears to be part of a growing trend of lithium battery-related accidents, which can lead to a combination of flame, chemical, electrical, and contact burns. Healthcare providers must be prepared to manage the distinctive and often complex nature of battery-related burn injuries, which may differ substantially from traditional thermal burns in terms of depth, severity, and the required treatment protocols.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"9 ","pages":"Article 100388"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Our experience of treatment of purulent arthritis in lower extremities after burn injury","authors":"B.M. Shakirov , D.Sh. Karabaev , S.X. Zoxidova , Sh. Ziyadullaev","doi":"10.1016/j.burnso.2024.100383","DOIUrl":"10.1016/j.burnso.2024.100383","url":null,"abstract":"<div><h3>Background</h3><div>The burn wound is directly affected by the general condition of the patient and also has a direct impact on the same leading to conditions pathology of the musculoskeletal system. Purulent arthritis is a pathological condition in which the joints of the body get inflamed as a result of bacterial infection.</div><div><strong>The aim</strong> of the present study was identification of purulent arthritis patients and to evaluate different surgical treatment in burn patients’ low extremities.</div></div><div><h3>Material and methods</h3><div>During a 11-year period, 39 patients with burn injuries complicated by purulent arthritis of the joints of the lower extremities treated in the burn department of the Samarkand Center of Emergency Medical Care, Samarkand, Uzbekistan between 2010 and 2020 were enrolled in the present study. The diagnosis is made on the basis of a characteristic anamnesis. Blood tests confirming the presence of acute inflammation. The main diagnostic method purulent arthritis is puncture of the joint with subsequent examination of the punctate. All patients received comprehensive general and local treatment included necrotomy, necrectomy and 1 to 3 operations were performed to plastically close deep and large burn wounds. We performed an arthrotomy in 31 patients. In all cases, arthrotomy was performed as a planned surgical intervention. Unfortunately we performed amputation in 8 patients.</div></div><div><h3>Results</h3><div>In the postoperative period, drainage of the joint cavity through the opening and wound, the application of paraphene to the surrounding tissues of the joints, massage, physical therapy, treatment physical physiotherapy exercises, laser application made it possible to achieve satisfactory results.</div></div><div><h3>Conclusions</h3><div>The described herein method of treatment of purulent arthritis of the lower extremities has improved treatment results, expanded survival rates, reduced probability of complications and disabilities.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"9 ","pages":"Article 100383"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juan Ludeña , Diana Rojas , Pedro Ciudad , Walter Navarro , Rafael Rossi , Annelisse Travi
{"title":"Benefits of the use of porcine skin for the management of toxic epidermal necrolysis injuries: Review of the literature","authors":"Juan Ludeña , Diana Rojas , Pedro Ciudad , Walter Navarro , Rafael Rossi , Annelisse Travi","doi":"10.1016/j.burnso.2024.100386","DOIUrl":"10.1016/j.burnso.2024.100386","url":null,"abstract":"<div><div>Toxic epidermal necrolysis (TEN) is a rare immune-mediated adverse skin reaction; secondary in most cases to the administration of a drug. Due to its high mortality, immediate diagnosis and management in an intensive care unit is essential. In addition, temporary coverage of skin lesions should be performed to avoid fluid loss, reduce pain and prevent infection. An alternative for this is the use of porcine skin, which has been shown to have good aesthetic results in the management of TEN.</div></div><div><h3>Objective</h3><div>To demonstrate the benefits provided by the use of porcine skin as a biological dressing in TEN injuries in the Plastic, Reconstructive and Burn Surgery service of the Arzobispo Loayza National Hospital.</div></div><div><h3>Method</h3><div>Descriptive, retrospective study of TEN cases referred to our service from 2016 to 2020 where 9 patients were found, with dermal involvement >30 % of total body surface area (TBSA) and who underwent porcine skin as a biological dressing.</div></div><div><h3>Results</h3><div>The most frequent identifiable cause of TEN was the use of antibiotics. The mortality was 33 %. Total epithelialization of the lesions was obtained in 7 of the 9 patients (77 %) and the mean epithelialization time was 14.2 days.</div></div><div><h3>Conclusion</h3><div>The use of the porcine skin dressing is effective in patients with TEN and favors its re-epithelialization.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"9 ","pages":"Article 100386"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ginger Egberts , Fred Vermolen , Qiyao Peng , H.Ibrahim Korkmaz , Paul van Zuijlen
{"title":"How can mathematics be used to improve burn care?","authors":"Ginger Egberts , Fred Vermolen , Qiyao Peng , H.Ibrahim Korkmaz , Paul van Zuijlen","doi":"10.1016/j.burnso.2024.100390","DOIUrl":"10.1016/j.burnso.2024.100390","url":null,"abstract":"<div><div>Severe second-degree ‘partial thickness’ and third-degree ‘full thickness’ burns are characterized by damage to the dermal layer of the skin. In the dermis, specialized cells called fibroblasts play a crucial role in wound healing. These cells produce collagen, a protein that provides strength and structure to the skin. After burn injury, fibroblasts migrate to the injured area and start producing and depositing collagen to help repair the damaged tissue. While contraction is essential for closing the wound, it can also result in scar contraction (contractures), especially in more severe burns. This contraction creates stresses on the skin, which can deteriorate the mobility of joints near the burn.</div><div>This article overviews the most recent research results in computer simulations of scar contraction after burns.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"9 ","pages":"Article 100390"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143155438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Deepak K. Ozhathil , Teresa R. Kontos , Kim M. Priban , Evan P. Bailey , Elizabeth A. Halicki , Steven A. Kahn MD
{"title":"Innovative surgical management of large burn wounds in patients with elevated body weight to enhance team safety","authors":"Deepak K. Ozhathil , Teresa R. Kontos , Kim M. Priban , Evan P. Bailey , Elizabeth A. Halicki , Steven A. Kahn MD","doi":"10.1016/j.burnso.2024.100382","DOIUrl":"10.1016/j.burnso.2024.100382","url":null,"abstract":"<div><div>Over the past four decades, obesity rates in the United States have consistently increased, with current estimates indicating that over 42% of adults are affected <span><span>[1]</span></span>. In contrast, burn injuries have decreased significantly during the same period, largely due to effective public awareness campaigns and improvements of safety regulations <span><span>[2]</span></span>. Despite these opposing trends, the percentage of burn patients at the author’s hospital with a concurrent diagnosis of obesity has risen, posing unique challenges for clinical providers. Patients with elevated body weight and extensive burns require special considerations for proper positioning, wound exposure, and minimizing ergonomic risks to healthcare workers <span><span>[3]</span></span>. Currently, there is a notable lack of comprehensive guidelines on operative strategies specifically tailored for this patient population. In response to this knowledge gap, the authors’ institution implemented novel surgical techniques designed to manage circumferential burn wounds in patients with higher body weight.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"9 ","pages":"Article 100382"},"PeriodicalIF":0.0,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Olivia Fruergaard, Mathias Ørholt, Christian Lyngsaa Lang, Jennifer Berg Drejøe, Mikkel Herly, Peter Vester-Glowinski, David Hebbelstrup Jensen
{"title":"A systematic review of the Novosorb® Biodegradable Temporizing Matrix in the treatment of complex wounds","authors":"Olivia Fruergaard, Mathias Ørholt, Christian Lyngsaa Lang, Jennifer Berg Drejøe, Mikkel Herly, Peter Vester-Glowinski, David Hebbelstrup Jensen","doi":"10.1016/j.burnso.2024.100378","DOIUrl":"10.1016/j.burnso.2024.100378","url":null,"abstract":"<div><h3>Background</h3><div>Restoring<!--> <!-->a<!--> <!-->functional<!--> <!-->dermis<!--> <!-->following<!--> <!-->extensive,<!--> <!-->deep<!--> <!-->wounds,<!--> <!-->such<!--> <!-->as<!--> <!-->those<!--> <!-->caused<!--> <!-->by<!--> <!-->severe<!--> <!-->burns,<!--> <!-->presents<!--> <!-->a<!--> <!-->significant<!--> <!-->reconstructive<!--> <!-->challenge. Although split thickness skin graft (STSG) and full thickness skin graft (FTSG) can provide adequate coverage, dermal templates are becoming increasingly important in restoring function. The purpose of this systematic review is to assess the efficacy, advantages and limitations of employing NovoSorb® Biodegradable Temporizing Matrix (BTM) in the treatment of complex wounds.</div></div><div><h3>Methods</h3><div>The systematic review was carried out in accordance with PRISMA and MOOSE guidelines when appropriate. All studies until April 2024 involving patients treated with NovoSorb® BTM were considered. Infection,<!--> <!-->adverse<!--> <!-->events,<!--> <!-->and<!--> <!-->BTM<!--> <!-->loss<!--> <!-->were<!--> <!-->among<!--> <!-->the<!--> <!-->outcomes<!--> <!-->evaluated.</div></div><div><h3>Results</h3><div>We identified 725 studies, and 69 were included after screening. The included studies involved 880 participants and were mostly concerned with the management of burns, but other difficult wounds were also addressed. The infection rate was 10%, yet only few reported losing their BTM as a result of this consequence. The incidence of adverse events was low, with the majority of trials reporting no adverse events related to BTM.</div></div><div><h3>Conclusion</h3><div>Our systematic review focused primarily on case series and case reports that demonstrated the efficacy of Novosorp BTM and the rarity of side effects. However, there were very few comparison research. More research is needed to fully analyze the efficacy, limitations, and downsides of using Novosorb (BTM).</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"9 ","pages":"Article 100378"},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142655861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sinan Dogan , Arina Mahmoud , Ingrid Steinvall , Elin Albertsson , Elina Bergman , Jamila Halimi , Moustafa Elmasry
{"title":"Skin graft take rate among minor burns – A cohort study to investigate the effect of factors such as burn depth, burn size, and timing of the operation","authors":"Sinan Dogan , Arina Mahmoud , Ingrid Steinvall , Elin Albertsson , Elina Bergman , Jamila Halimi , Moustafa Elmasry","doi":"10.1016/j.burnso.2024.100381","DOIUrl":"10.1016/j.burnso.2024.100381","url":null,"abstract":"<div><h3>Background</h3><div>It has been known for decades that early excision of burns reduces morbidity and mortality. Early surgical excision and skin grafting has become the most important part of successful healing in burn management, especially in major burns. However, it is not entirely clear whether early excision and skin transplantation has the same advantages in smaller burns and there is no consensus on the timing of skin grafting in this group. The aim was to investigate the effect of timing and other factors for skin graft take rate among minor burns.</div></div><div><h3>Methods</h3><div>This retrospective study included patients with thermal injury, a burn size smaller than 11 % total body surface area (TBSA), and who were treated with a skin graft operation. Take rate at the second dressing change after operation was used as main outcome, a cut-off of 95% take rate was for the multivariable logistic regression.</div></div><div><h3>Results</h3><div>A total of 195 patients were included, median (IQR) age was 42 (9–68) years, 65 % were male, and median (IQR) area of deep burns was 2 (1–4) % of the body surface area (BSA). Multivariable regression showed that smaller area of deep burns and scalds (compared with flame and contact burns) were associated with a take rate of ≥ 95 %. Age, timing of the skin graft transplantation, and plasma C-reactive protein showed no independent effect on take rate. The regression model was significant but weak (ROC AUC 0.71, 95 % CI 0.62–0.79).</div></div><div><h3>Conclusion</h3><div>Our results suggest that the extent and depth of the burn are the most important factors for skin graft take rate among minor burns, while timing of the transplantation is not associated with take rate for the skin graft. The advantageous effect of scalds may be interpreted to mean that scalds in general are more superficial than flame and contact burns, a difference that may not be detected by the use of a Lund and Browder chart. The conclusion is, however, tempered by the retrospective study design and the relatively low discriminatory power in our study.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"9 ","pages":"Article 100381"},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142655860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A systematic review of the clinical use of a single-layer bovine collagen-elastin acellular dermal matrix","authors":"David M. Hill","doi":"10.1016/j.burnso.2024.100380","DOIUrl":"10.1016/j.burnso.2024.100380","url":null,"abstract":"<div><h3>Introduction</h3><div>Dermal substitutes have significantly changed the practice of caring for acute and chronic wounds, earning a place on the reconstructive ladder. MatriDerm is a single-layer acellular dermal matrix composed of bovine collagen types I, III, and V with added bovine elastin (CEM). It was developed in the 1990′s, has been commercially available outside of the US since 2005, and received FDA clearance for use in the US in 2021. The objective of this study was to review the published literature to identify an exhaustive list of references describing the clinical use of CEM and summarize the findings.</div></div><div><h3>Methods</h3><div>An extensive search of PubMed and Google Scholar was performed to identify manuscripts describing the clinical use of CEM. Manuscripts were excluded if they were primarily animal models, in vitro studies, reviews, expert opinion articles, or lacked sufficient detail. Google Translate was utilized when necessary.</div></div><div><h3>Results</h3><div>Five hundred and thirty-five manuscripts containing potential details of CEM usage were identified. After exclusions, 128 remained (13 randomized control trials, 30 cohort studies, and 85 case series/reports) originating from 38 countries, including nearly 2,600 clinical cases dating back to 1995. Cases varied considerably and included: burns, acute traumatic injuries, chronic wounds, and soft tissue reconstruction in patients ranging from pediatric to the elderly. A single-stage procedure (CEM placement and covered with an autograft in the same procedure) was the most reported technique, but autograft application in a later procedure was also reported. Negative pressure wound therapy was utilized in many of the studies. Study endpoints varied widely and included graft take, several objective scar scales, cutometer/durometer measures, range of motion, patient satisfaction scores, and histology.</div></div><div><h3>Conclusions</h3><div>There is an extensive body of global literature dating back to the 1990’s documenting CEM successfully utilized as a dermal matrix for a vast number of patients and indications.</div></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"9 ","pages":"Article 100380"},"PeriodicalIF":0.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142655859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}