Mehmet DEMİRCAN, Tuğrul ÇİÇEK, İkbal YETİŞ

One-Step Reconstruction of Severe Burn Injury on the Face of Child by Using the Collagen-Elastin Matrix

Bu olgu sunumunda; yanığının 4. gününde, aynı anda kolajen-elastin matriks uygulaması ve üzerine deri greftlemesi yapılan çok ağır totalyüz yanıklı 10 aylık kız hastayı sunuyoruz. Toplam yanık alanı tüm vücudun %SO'si olup neredeyse tüm alanlar 3. dereceydi. Bu yöntemleyapılan tüm greftler canlı kaldı. Erken sonuçlara gore, greft kalitesi; elastisite, pliabilite, doku kalitesi ve renk bakımından normale yakındı,Hastamızda yara kontürleri güzeldi ve yara bölgesinde hipertrofik skar yoktu. Dermis eşdeğeri olarak kolajen--elastin matriks, ağır yanıksonrası yüz rekonstrüksiyonunda yararlı bir yardımcı olabilir ve hızlı iyileşmeyi sağlamaya izin verebilir. Burada sunulan hasta kolajen--elastinmatriksin (Matriderm®), bu türk yanıklarda greft olarak kullanıldığı ilk hastadır.

Ağır Yüz Yanıklı Bir Çocukta Kolajen--Elastin Matriks Kullanılarak Yapılan Tek Aşamalı Rekonstrüksiyon

We present 10 months--old girl patient with severe facial burns which include total face treated with using the collagen--elastin matrix andsimultaneously an unmeshed split--thickness skin graft on the 4th day of admittance. Total surface burn area was 50% and all burned areawas almost 3rd degree. Graft survival was 100% in this technique. In regard to early results, graft quality was close to normal skin in terms ofelasticity, pliability, texture and the color. Good contour was also achieved and no hypertrophic scar occurred. Aesthetic and functionalresults have been encouraging. The collagen--elastin matrix as dermal substitute can be useful adjunct to severe post burn facialreconstruction and may permit to obtain quick healing. This is the first case of using the collagen-elastin matrix (Matriderm®).

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