Randomized trial comparing cryopreserved cultured epidermal allografts with tulle-gras in the treatment of split-thickness skin graft donor sites.
Cultured epidermal allografts have been successfully used to treat a wide variety of skin defects ranging from burns to leg ulcers. Their postulated mechanism of action is through release of multiple cytokines that stimulate epithelialization from the wound periphery as well as from remnant epidermal appendages. A randomized, controlled clinical trial was undertaken to compare the efficacy of cryopreserved cultured allograft dressings (CCAD) with tulle-gras dressings in the treatment of split-skin graft donor sites. Five patients were enrolled in the study and in each patient, half of the donor site was allografted and the other half was treated with tulle-gras control. The mean time to complete healing was 6.2 days for CCAD compared with 9.6 days (p = 0.035) for the tulle-gras controls. Patient assessment of pain with dressing changes was also significantly lower at the CCAD-treated sites than at the control sites (p = 0.001). The results indicate that cultured allografts offer greater patient comfort and earlier maturation of regenerated skin.
Teepe
R G
RG
Department of Dermatology, Ziekenhuis Leyenburg, Den Haag, The Netherlands.
Koch
R
R
Haeseker
B
B
D000328:Adult; D000368:Aged; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use*; D001458:Bandages / Q000592:standards*; D001684:Biological Dressings / Q000592:standards*; D015925:Cryopreservation / Q000379:methods*; D046508:Culture Techniques; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000453:epidemiology / Q000209:etiology; D010147:Pain Measurement; D010636:Phenols / Q000627:therapeutic use*; D011446:Prospective Studies; D016037:Single-Blind Method; D016038:Skin Transplantation / Q000379:methods*; D013530:Surgical Wound Infection / Q000453:epidemiology / Q000209:etiology; D014019:Tissue Donors; D014945:Wound Healing
D000891:Anti-Infective Agents, Local; D010636:Phenols; C004554:2,4,6-tribromophenol