Skin Grafting for Full-Thickness Burn Injury

Abstract Domestic superglue (cyanoacrylate) in the hands of children can have devastating consequences, especially when cotton clothing is involved. When cotton comes into contact with cyanoacrylate, an intense exothermic reaction occurs, creating temperatures high enough to cause significant thermal injury. A literature review found 16 such cases of burns documented (2 adult and 14 pediatric). This article presents a case report of a 4-year-old child sustaining a full-thickness burn injury to her leg requiring skin grafting when superglue was spilt onto cotton pants. She was sitting near a fan heater at the time. An experiment was conducted to replicate the exothermic reaction between superglue and cotton and to determine if the addition of radiant heat would have any significant effect. The maximum temperature reached with one 3-g tube of superglue onto cotton pyjamas was 91°C (196°F) and occurred approximately 90 seconds postapplication. It took more than 3 minutes for the temperature to cool below 40°C (104°F). The addition of radiant heat from a fan heater placed 60 cm from the clothing found that the temperature peak was similarly reached and cooled, but the temperature did not reduce below 52°C (126°F) for over 20 minutes, proving that potential harm may be amplified if first aid is not appropriately sought. Product labeling and the knowledge of potential harm from such mechanism of injury remain inadequate. It is hoped that the reporting of this case contributes to an increase in public education and awareness of such dangers and may contribute to preventing avoidable future incidences.

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Total full-thickness skin grafting for treating patients with extensive facial burn injury: A 10-year experience

Burns ◽

10.1016/j.burns.2020.12.003 ◽

2020 ◽

Author(s):

Sergey B. Bogdanov ◽

Irina V. Gilevich ◽

Karina I. Melkonyan ◽

Alexander S. Sotnichenko ◽

Sergey N. Alekseenko ◽

...

Keyword(s):

Burn Injury ◽

Skin Grafting ◽

Full Thickness ◽

Full Thickness Skin ◽

Thickness Skin ◽

Facial Burn

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First experiences with a new surgical approach in adult full-thickness burns: single step reconstruction of epidermal, dermal and subcutaneous defects by use of split-thickness skin grafting, a dermal collagen matrix and autologous fat-transfer

European Surgery ◽

10.1007/s10353-013-0211-2 ◽

2013 ◽

Vol 45 (5) ◽

pp. 263-269 ◽

Cited By ~ 5

Author(s):

M. Keck ◽

H. F . Selig ◽

J. Kober ◽

D. B . Lumenta ◽

H. Schachner ◽

...

Keyword(s):

Skin Grafting ◽

Collagen Matrix ◽

Single Step ◽

Full Thickness ◽

Fat Transfer ◽

Autologous Fat ◽

Autologous Fat Transfer ◽

Thickness Skin ◽

Split Thickness Skin Grafting ◽

Dermal Collagen

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Treatment of a full-thickness skin lesion in a prematurely born infant. Integra® Bilayer for bridging to skin grafting until epidermal maturation allows safe harvesting. A rare case

Burns Open ◽

10.1016/j.burnso.2021.05.003 ◽

2021 ◽

Author(s):

Michel Mueller-Eggenberger ◽

Claudia Kanduth ◽

Matthias Rab ◽

Christian Breschan ◽

Maximilian Neuwirth

Keyword(s):

Skin Lesion ◽

Rare Case ◽

Skin Grafting ◽

Full Thickness ◽

Full Thickness Skin ◽

Born Infant ◽

Thickness Skin

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Heparin mimetic peptide nanofiber gel promotes regeneration of full thickness burn injury

Biomaterials ◽

10.1016/j.biomaterials.2017.04.040 ◽

2017 ◽

Vol 134 ◽

pp. 117-127 ◽

Cited By ~ 36

Author(s):

Fatih Yergoz ◽

Nurcan Hastar ◽

Cagla Eren Cimenci ◽

Alper Devrim Ozkan ◽

Turgay Tekinay ◽

...

Keyword(s):

Burn Injury ◽

Full Thickness ◽

Mimetic Peptide

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Large Gaps of Midline Abdominal Incisions and Their Management

The American Surgeon ◽

10.1177/000313480807401111 ◽

2008 ◽

Vol 74 (11) ◽

pp. 1094-1099

Author(s):

Mahmoud N. Kulaylat ◽

Constantine P. Karakousis

Keyword(s):

Abdominal Wall ◽

Surgical Procedures ◽

Skin Grafting ◽

Operative Management ◽

Full Thickness ◽

Tension Free ◽

Abdominal Malignancy ◽

One Step ◽

Short And Long Term

The operative management of midline full-thickness abdominal wall gaps is difficult, often requires several surgical procedures and is associated with significant short- and long-term complications. A rectus abdominis-posterior sheath (RAPS) flap with skin grafting provides a tension-free one-step repair which was used in three patients successfully with midline abdominal wall (including the skin) gaps who had multiple previous operations related to intra-abdominal malignancy. No complications occurred in these patients in relation to this procedure.

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MALTBY'S SUTURE-HOLDER FOR FULL-THICKNESS SKIN GRAFTING

The Lancet ◽

10.1016/s0140-6736(53)90892-7 ◽

1953 ◽

Vol 261 (6753) ◽

pp. 224

Author(s):

MichaelC. Oldfield

Keyword(s):

Skin Grafting ◽

Full Thickness ◽

Full Thickness Skin ◽

Thickness Skin ◽

Suture Holder

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Adoption of a Newly Introduced Dermal Matrix: Preliminary Experience and Future Directions

BioMed Research International ◽

10.1155/2020/3261318 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Andrea Vittorio Emanuele Lisa ◽

Leonardo Galtelli ◽

Valeriano Vinci ◽

Alessandra Veronesi ◽

Luca Cozzaglio ◽

...

Keyword(s):

Soft Tissues ◽

Skin Grafting ◽

Acellular Dermal Matrix ◽

Full Thickness ◽

Dermal Matrix ◽

Full Thickness Skin ◽

Thickness Skin ◽

Chronic Ulcers ◽

Fast Reconstruction ◽

Traditional Approaches

Introduction. Acellular dermal matrix (ADM) products are adopted in the management of injuries to soft tissues. ADMs have been increasingly employed for their clinical advantages, and they are acquiring relevance in the future of plastic surgery. The aim of our study is to evaluate the application of ADMs in our patients who could not undergo fast reconstruction. Materials and Methods. We performed a retrospective study on 12 patients who underwent ADM placement for scalp and limb surgical reconstructions at the Humanitas Research Hospital, Rozzano (Milano), Italy. Wounds resulted from 9 tumor resections and 3 chronic ulcers. The ADM substrate used to treat these lesions was PELNAC™ (Gunze, Japan), a double-layered matrix composed of atelocollagen porcine tendon and silicon reinforcement. All patients underwent a second surgical operation to complete the treatment with a full-thickness skin graft to cover the lesion. Results. In this study, 12 patients were treated with PELNAC™: 11 out of 12 patients showed a good attachment over a median time of 21.3 days (range 14-27). After almost 23 days, all patients were ready to undergo a full-thickness skin grafting. Conclusion. This study assesses the benefits of PELNAC™ and proposes this method as an alternative to traditional approaches, especially in situations where the latter techniques cannot be applied.

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Minimally Invasive Technologies for Treatment of HTS and Keloids: Fractional Laser

Textbook on Scar Management ◽

10.1007/978-3-030-44766-3_33 ◽

2020 ◽

pp. 279-285

Author(s):

M. Tretti Clementoni ◽

E. Azzopardi

Keyword(s):

Minimally Invasive ◽

Burn Injury ◽

State Of The Art ◽

Skin Grafting ◽

Complex Problem ◽

Fractional Laser ◽

Thickness Skin ◽

Split Thickness Skin Grafting ◽

Insight Into

AbstractThis chapter presents a state-of-the-art insight into the use of fractional laser for the management of this complex problem. In particular, we focus on the management of complex scars such as those occurring post-burn injury and split-thickness skin grafting.

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