Mt. Rivastorres et al., CONTROLLED CLINICAL-STUDY OF SKIN DONOR SITES AND DEEP PARTIAL-THICKNESS BURNS TREATED WITH CULTURED EPIDERMAL ALLOGRAFTS, Plastic and reconstructive surgery, 98(2), 1996, pp. 279-287
Two clinical studies in donor sites and deep partial-thickness burns t
reated with banked cultured human epidermal allografts are described.
Ten burn patients were subjected to donor split-thickness skin harvest
ing. The study was controlled, side-by-side comparative, blind, and ra
ndomized. Banked cultured epidermal allografts promoted a faster reepi
thelialization of the wounds; they epithelialized in an average of 6.9
days, whereas controls healed in an average of 11.1 days, giving a re
duction of 37.8 percent in time to heal (p < 0.005). Allografted sites
were less erythematous as compared with controls (p < 0.01), with mor
e tendency to normopigmentation. In the deep partial-thickness burns s
tudy, 10 patients with 18 burned wounds were treated. Wounds treated w
ith cultured allografts showed complete reepithelialization in about 3
to 6 days. The two clinical studies showed that banked cultured epide
rmal allograft promotes a significantly faster epithelialization of do
nor sites and deep partial-thickness wounds. These results support the
idea that cultured allografts should be used routinely to improve tre
atment of burn patients and reduce their therapy time.