Sprayed cultured autologous keratinocytes used alone or in combination with meshed autografts to accelerate wound closure in difficult-to-heal burns patients

JAMES, S.Elizabeth, Booth, S., Dheansa, B., Man, D.J., Reid, M.J., SHEVCHENKO, ROSTISLAV and Gilbert, P. (2010) Sprayed cultured autologous keratinocytes used alone or in combination with meshed autografts to accelerate wound closure in difficult-to-heal burns patients Burns, 36 (3). pp. 10-20. ISSN 0305-4179

Full text not available from this repository.

Official URL: http://www.sciencedirect.com/science/article/pii/S...

Abstract

In this article we report the use of sprayed, cultured autologous keratinocytes in combination with widely meshed autografts (both Meek and lattice techniques) and report here three cases with significant full thickness burns. The patients had 8% (elderly), 31% (non-healing) and 90% TBSA burns. We also report 2 patients treated with cultured cells alone; a 56% TBSA (non-healing) and a 15% TBSA female ballerina who wished to avoid unnecessary donorsite scars.  While the observational data we have reported here gives us hope for the future use and development of sprayed cultured autologous keratinocyte therapy, it is by no means conclusive. There have been several calls within the burns community for a higher level of research to be conducted to evaluate the efficacy of cultured epithelial cells in the treatment of burns [19,29,45]. A detailed retrospective audit of 84 patients over an 11-year period at one Centre demonstrates the great potential of this treatment [45]. A blind, prospective study of areas treated with a combination of meshed autograft plus cultured cells compared with matched areas treated with meshed autograft alone is underway at our Centre. It is hoped that the results of such a study will be able to answer the questions posed by the burns community as to the true efficacy of cultured cell therapy.

Item Type:Journal article
Subjects:C000 Biological and Biomedical Sciences
B000 Health Professions
B000 Health Professions > B100 Anatomy Physiology and Pathology
DOI (a stable link to the resource):10.1016/j.burns.2008.11.011
Faculties:Faculty of Science and Engineering > School of Pharmacy and Biomolecular Sciences
ID Code:7474
Deposited By:Converis
Deposited On:31 Aug 2010 09:37
Last Modified:21 Mar 2013 02:18

Repository Staff Only: item control page