@article{Doctor_Woller_Dissanaike_2014, title={Treatment of chest burn contracture causing respiratory compromise with island release and grafting using cross-link collagen and Integra™ bilayer dressing}, volume={2}, url={https://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/115}, abstractNote={<p>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.<em> </em></p><p> </p&gt;}, number={6}, journal={The Southwest Respiratory and Critical Care Chronicles}, author={Doctor, Neil and Woller, Erin and Dissanaike, Sharmila}, year={2014}, month={Apr.}, pages={36-40} }