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ISSN 2007-3178 (Print)
Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.

2023, Number 1

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Rev Mex Cir Bucal Maxilofac 2023; 19 (1)

Use of MatriDerm® in conjunction with VAC therapy in the management of a patient with a firework burn in the temporal region: presentation of a clinical case

Ortega SOJ, Cantú CMZ

Language: Spanish
References: 13
Page: 41-45
PDF size: 259.13 Kb.


ABSTRACT

Introduction: pyrotechnic burns in pediatric patients are very common situations during holidays in Mexico and their management is usually complex since tissue damage is different in these burns due to the explosion factor. The use of dermal matrices is a therapy used in burn patients; in the case of vacuum assisted closure (VAC) therapy, it is used for the management of multiple types of wounds. The use of the combination of these two therapies is not so frequent, and to our knowledge there are no previous reported cases of the use of these therapies in pyrotechnic burns in the cephalic region. Objective: to present the evolution of a patient with pyrotechnics burns after being treated with a combination of dermal matrices and VAC therapy. Clinical case: 7-year-old male patient with a burn in the right temporal area, as a result of the explosion of a firework. In a first intervention the Integra® brand dermal matrix was used, in a second intervention another MatriDerm® brand dermal matrix was used in conjunction with VAC therapy, having a favorable evolution in terms of functionality after one year of follow-up. Conclusion: the timely and adequate management of pyrotechnic burns can bring us favorable results for the function. In our case, the use of combined therapy allowed the adequate integration of the grafts.


REFERENCES

  1. Jacobson L, Sandvall BK, Quistberg DA, Rowhani-Rahbar A, Vavilala MS, Friedrich JB et al. Severe fireworks-related injuries: demographic characteristics, injury patterns, and firework types in 294 consecutive patients. Pediatr Emerg Care. 2021; 37 (1): e32-e36. doi: 10.1097/PEC.0000000000002302.

  2. Sandvall BK, Jacobson L, Miller EA, Dodge RE 3rd, Alex Quistberg D, Rowhani-Rahbar A et al. Fireworks type, injury pattern, and permanent impairment following severe fireworks-related injuries. Am J Emerg Med. 2017; 35 (10): 1469-1473. doi: 10.1016/j.ajem.2017.04.053.

  3. Cervelli V, Brinci L, Spallone D, Tati E, Palla L, Lucarini L et al. The use of MatriDerm® and skin grafting in post-traumatic wounds. Int Wound J. 2011; 8 (4): 400-405. doi: 10.1111/j.1742-481X.2011.00806.x.

  4. Hatzfeld AS, Pasquesoone L, Germain N, Danzé PM, Drucbert AS, Tardivel M et al. Benefits of cryopreserved human amniotic membranes in association with conventional treatments in the management of full-thickness burns. Int Wound J. 2019; 16 (6): 1354-1364. doi: 10.1111/iwj.13198.

  5. Min JH, Yun IS, Lew DH, Roh TS, Lee WJ. The use of MatriDerm and autologous skin graft in the treatment of full thickness skin defects. Arch Plast Surg. 2014; 41 (4): 330-336. doi: 10.5999/aps.2014.41.4.330.

  6. Satteson ES, Crantford JC, Wood J, David LR. Outcomes of vacuum-assisted therapy in the treatment of head and neck wounds. J Craniofac Surg. 2015; 26 (7): e599-e602. doi: 10.1097/SCS.0000000000002047.

  7. Pedrazzi NE, Naiken S, La Scala G. Negative Pressure Wound Therapy in Pediatric Burn Patients: A Systematic Review. Adv Wound Care (New Rochelle). 2021;10(5):270-280. doi: 10.1089/wound.2019.1089. Epub 2020 Jun 10. PMID: 32320366; PMCID: PMC8024243.

  8. Tran S, Jacques MA, Holland AJ. Assessment and management of minor burns in children. Aust J Gen Pract. 2019; 48 (9): 590-594. doi: 10.31128/AJGP-04-19-4919.

  9. Schneider J, Biedermann T, Widmer D, Montano I, Meuli M, Reichmann E et al. MatriDerm versus Integra: a comparative experimental study. Burns. 2009; 35 (1): 51-57. doi: 10.1016/j.burns.2008.07.018.

  10. Bottcher-Haberzeth S, Biedermann T, Schiestl C, Hartmann-Fritsch F, Schneider J, Reichmann E et al. MatriDerm® 1 mm versus Integra® Single Layer 1.3 mm for one-step closure of full thickness skin defects: a comparative experimental study in rats. Pediatr Surg Int. 2012; 28 (2): 171-177. doi: 10.1007/s00383-011-2990-5.

  11. Kantak NA, Mistry R, Halvorson EG. A review of negative-pressure wound therapy in the management of burn wounds. Burns. 2016; 42 (8): 1623-1633. doi: 10.1016/j.burns.2016.06.011.

  12. Gómez-Ortega V, Vergara-Rodriguez MJ, Mendoza B, García T. Effect of negative pressure wound therapy in electrical burns. Plast Reconstr Surg Glob Open. 2021; 9 (2): e3383. doi: 10.1097/GOX.0000000000003383.

  13. Resadita R, Seswandhana MR, Purnomo E, Anzhari S, Gabriela GC, Dachlan I et al. The effect of NPWT in wound healing and bacterial count on deep dermal burn injury model: an experimental study. Ann Med Surg (Lond). 2022; 75: 103367. doi: 10.1016/j.amsu.2022.103367.




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