Chitosan is a derivative of chitin, extracted from the exoskeleton of lobst
ers, crabs and shrimps. As a semi-permeable biological dressing, it maintai
ns a sterile wound exudate beneath a dry scab, preventing dehydration and c
ontamination of the wound to optimise conditions for healing. In this study
, evaluation of healing at split skin graft donor sites, dressed half with
chitosan and half with a conventional dressing, showed that chitosan facili
tated rapid wound re-epithelialisation and the regeneration of nerves withi
n a vascular dermis. In addition, digital colour separation analysis of don
or site scars demonstrated an earlier return to normal skin colour at chito
san-treated areas. (C) 2000 The British Association of Plastic Surgeons.