Abstract

Electrical burn wound to the scalp which causing the deep thermal burns may cause injury to all layers of scalp including bone which can create a raw area of the scalp with exposed skull bone which is difficult to reconstruct as the bone was exposed without periosteum. The bone without periosteum will not usually granulate. In our case we used regenerative techniques for exposed bone in scalp wound for granulation for flap cover. We have used dermabrasion assisted wound debridement to remove the necrosed top layer of bone and used regenerative techniques like Low level laser therapy, Human amniotic membrane, collagen scaffold application and cyclic Negative pressure wound therapy for wound bed preparation. We will discuss about the regenerative techniques in this article.

• 1.   Falanga V. Wound Bed Preparation in Practice. EWMA Position Document. London: Medical Education Partnership Ltd; 2004. Wound bed preparation: Science applied to practice; pp. 2–5.
• 2.   Panuncialman J, Falanga V. The science of wound bed preparation. Surg Clin North Am. 2009;89: 611–26.
• 3.   Falanga V. Classifications for wound bed preparation and stimulation of chronic wounds. Wound Repair Regen. 2000;8: 347–52.
• 4.   Knox KR, Datiashvili RO, Granick MS. Surgical wound bed preparation of chronic and acute wounds. Clin Plast Surg. 2007;34: 633–41.
• 5.   Sibbald RG, Williamson D, Orsted HL, Campbell K, Keast D, Krasner D, et al. Preparing the wound bed-debridement, bacterial balance, and moisture balance. Ostomy Wound Manage. 2000;46: 14–22.
• 6.   Sibbald RG, Orsted H, Schultz GS, Coutts P, Keast D. Preparing the wound bed 2003: Focus on infection and inflammation. Ostomy Wound Manage. 2003;49: 23–51.
• 7.   Schultz GS, Sibbald RG, Falanga V, Ayello EA, Dowsett C, Harding K, et al. Wound bed preparation: A systematic approach to wound management. Wound Repair Regen. 2003;11(Suppl 1): S1–28.
• 8.   Krant SM, Arons MS. Dermabrasion debridement of the deep dermal burn. Plast Reconstr Surg. 1977 Jul;60(1):68-73.
• 9.   Floccard B, Tixier F, Chatot-Henry D, Lacotte B, Mehdaoui H, Drault JN. Early dermabrasion of deep dermal burns with sandpaper. Case reports. Scand J Plast Reconstr Surg Hand Surg. 1998 Dec;32(4):415-9
• 10.   Hunter J, Leonard L, Wilson R, Snider G, Dixon J. Effects of low energy laser on wound healing in a porcine model. Lasers Surg Med. 1984;3: 285–290
• 11.   Dyson M, Young S. Effect of laser therapy on wound contraction and cellularity in mice. Lasers Med Sci. 1986; 1:126–130.
• 12.   Tauzin H, Rolin G, Viennet C, Saas P, Humbert P, Muret P. A skin substitute based on human amniotic membrane. Cell Tissue Bank. 2014;15(2):257–65.
• 13.   Johnson A, Gyurdieva A, Dhall S, Danilkovitch A, Duan-Arnold Y. Understanding the Impact of Preservation Methods on the Integrity and Functionality of Placental Allografts. Ann Plast Surg. 2017;79(2):203–13.
• 14.   Munoyath SK, Sathishwaran J, Prasad K. Efficacy of human amniotic membrane and collagen in maxillofacial soft tissue defects - A comparative clinical study. J Oral Maxillofac Surgery, Med Pathol. 2015;27(6):786–90.
• 15.   Turner NJ, Badylak SF. Biologic scaffolds for musculotendinous tissue repair. Eur. Cell Mater. 25, 130–143 (2013).
• 16.   Tenenhaus M, Rennekampff HO. Surgical advances in burn and reconstructive plastic surgery: new and emerging technologies. Clin. Plast. Surg. 39(4), 435– 443 (2012).
• 17.   Blackburn JH, Boemi L, Hall WW, Jeffords K, Hauck RM, Banducci DR, Graham WP. Negative-pressure dressings as a bolster for skin grafts. Ann Plast Surg 1998;40:453–7.
• 18.   Scherer LA, Shiver S, Chang M, Meredith JW, Owings JT. The vacuum assisted closure device: a method of securing skin grafts and improving graft survival. Arch Surg 2002;137:930–4.

Data Sharing Statement

Funding