Treatment of chest burn contracture causing respiratory compromise with island release and grafting using cross-link collagen and Integra™ bilayer dressing

  • Neil Doctor TTUHSC School of Medicine
  • Erin Woller TTUHSC Dept. of Surgery
  • Sharmila Dissanaike TTUHSC Dept. of Surgery
Keywords: Integra, Contracture Release, Island Scar Release

Abstract

Post-burn skin contractures of the anterior and lateral abdomen and chest may result in respiratory compromise due to limitation of rib excursion. This case report describes a young man with respiratory compromise limiting his daily activity and function, as a result of a 90% burn sustained 6 years previously. Release of his chest and upper abdomen was achieved using “island” scar releases and a cross-linked bovine tendon collagen and glycosaminoglycan and a semi-permeable polysiloxane bilayer matrix dressing (Integra™) followed by subsequent split thickness skin graft. An immediate increase in maximal inspiratory volume was obtained intra-operatively and in the im­mediate post-operative period, and this improvement was sustained after healing of all wounds with subjective relief of the patient’s symptoms.

 

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Author Biography

Neil Doctor, TTUHSC School of Medicine
TTUHSC School of Medicine MS2 Student

Case report conducted with TTUHSC Dept. of Surgery
Published
2014-04-15
How to Cite
Doctor, N., Woller, E., & Dissanaike, S. (2014). Treatment of chest burn contracture causing respiratory compromise with island release and grafting using cross-link collagen and Integra™ bilayer dressing. The Southwest Respiratory and Critical Care Chronicles, 2(6), 36-40. Retrieved from https://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/115