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.

 

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