Biomedical Engineering Reference
In-Depth Information
the dermal epidermal junction come reports of novel systems to facilitate rapid,
simple, cost effective methods of delivery. From the literature it is not possible to
identify any technique as being superior to another in epithelial repair.
Keratinocytes are delivered to the wound as an element within a three-dimen-
sional construct which is beyond the scope of this chapter. The role of a technique
with minimal donor sites and the potential to expand the surface area covered to
1:80 and greater, allows exploration of the indications for use. Rapid cover of
partial thickness injury with dermal preservation reduces the risk of permanent
scarring. The technique also provides the opportunity to resurface scars to improve
the contour and colour using a small site matched donor site.
In reviewing the outcomes it is essential to consider the cost, convenience and
complications as use of the technology progresses.
8.6
References
1 Wood FM, 'Clinical potential of cellular autologous epithelial suspension'. Wounds ,
2003, 15 (1), 16-22.
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4 O'Connor NE, Mulliken JB, Banks-Schlegel S, Kehinde O and Green H, 'Grafting of
burns with cultured epithelium prepared from autologous epidermal cells'. Lancet , 1981,
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5 Wood FM, Kolybaba ML and Allen P, 'The use of cultured epithelial autograft in the
treatment of major burn injuries: A critical review of the literature'. Burns , 2006, 32 (4),
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experience with composite autologous skin substitute'. Burns , 2001, 75 , 421-4.
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8 Leigh IM, 'Keratinoctye autografting, allografting and wound healing', The Keratinocyte
Handbook , Cambridge University Press, Cambridge, 1994, 503-11.
9 Giele HP, Stoner ML and Wood FM, 'An alternative technique for harvesting of
sculptured epithelial sheets'. Methods in Cell Science , 1995, 17 , 233-6.
10 Desai MH, Mlakar JM, McCauley RC, Abdullah KM and Rutan RC, 'Lack of long term
durability of cultured keratinocyte burn wound coverage: a case report'. J Burn Care
Rehabil , 1991, 12 , 540-5.
11 Coleman J and Siwy B, 'Cultured epithelial autografts: a life saving and skin saving
technique in children'. J Paed Surg , 1992, 27 , 1029-32.
12 Wood FM, Liddiard K, Skinner A and Ballentyne J, 'Scar management of cultured
epithelial autograft'. Burns , 1996, 22 (6), 451-4.
13 Poumary Y and Pittelkow MR, 'Cell density and culture factors regulate keratinocyte
commitment to differentiation and expression of suprabasal K1/K10 integrins'. J Invest
Dermatol , 1995, 104 , 271-6.
14 Adams JC and Watt FM, 'Changes in keratinocyte adhesion during terminal differentia-
tion: reduction in fibronectin binding precedes alpha 5 beta 1 integrin loss from the cell
surface'. Cell , 1990, 63 , 424-35.
 
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