Scar Formation, Wound Healing
Conditions
Keywords
Skin substitutes, Split-thickness skin graft, Burn wound, Scar formation, Skin quality
Brief summary
The purpose of the study is to compare an acellular epithelial skin substitute with autologous split-thickness skin grafts (STSGs) in deep partial-thickness burns. The objective is to evaluate skin quality and scar formation by using subjective and objective burn scar assessments in order to present valuable data for another additional option of wound coverage in deep partial-thickness burns. The investigators hypothesized that the acellular epithelial skin substitute is at least not inferior to autologous skin grafts.
Interventions
Burn wounds are covered by an acellular skin substitute and remains 10-14 days that peals away in line with re-epithelialisation
Matched burn wound is covered by autologous skin after tangential excision.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients older than 18 years of age * verified deep partial-thickness burns * early tangential excision of burn wound (3-5 days after trauma)
Exclusion criteria
* Pregnancy * ABSI-Score \>13 * Active tumor or immune-mediated disease * Patient refusal
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time (in days +/- standarddeviation) to complete re-epithelialisation in acellular skin substitue area versus autologous skin | 1 year | Time to complete re-epithelialisation measured in days after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Skin quality- ratio acellular skin substitute/healthy skin versus ratio autologous skin/healthy skin | 1 year | Quality of the skin is measured two-fold: 1. Subjective scar scors: Vancouver Scar Scale, Patient and Observer Scar Scale 2. Objective scar evaluation by a non-invasive suction device, that measures viscoelastic parameter. |
Countries
Austria