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e1
QUESTIONS
1. Some of the technologies replace just the dermal or
epidermal components of the skin while some replace
both. What are the advantages of skin substitutes that
just supply one component? What are the advantages
of skin substitutes that replace both?
2. A patient presents with a third degree burn on both
4. Discuss the difference between “life-saving” and
“functional and aesthetic reconstruction” of skin
ANSWERS
1. Overall this depends on the depth of the wound, and
the available alternatives including skin grafts, as well
as the patient’s condition. Advantages of skin substi-
tutes that supply just one component could be cost or
3. Optimally this should be covered with a flap (tissue
4. Life-saving results for skin substitutes would be for
patients with over 50% total body surface area burns.
Functional results would be to reduce contractures
and scarring, such as neck contractures and scarring
on the face or hands.
CHAPTER II.5.14
Burn Dressings and Skin Substitutes
TABLE II.5.14.1 Qualities of Skin Substitutes
The ideal skin substitute is:
• inexpensive
• long lasting
• a bacterial barrier
• semipermeable to water
