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学术急诊医学档案

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  3. 卷 12 编号 1 (2024): Continuous volume
  4. Case Report

卷 12 编号 1 (2024)

一月 2024

Acellular Fish Skin for Deep Dermal Traumatic Wounds Management; Introducing a Novel Dressing

  • Esmaeil Biazar
  • Reza Zandi
  • Saeed Haidari-Keshel
  • Majid rezaei tavirani
  • Reza Vafaee
  • Mostafa Rezaei Tavirani
  • Reza M Robati

学术急诊医学档案, 卷 12 编号 1 (2024), 1 一月 2024 , 第 e14 页
https://doi.org/10.22037/aaem.v12i1.2103 已出版: 2023-11-27

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摘要

The optimal therapy for deep wounds is based on the early debridement of necrotic tissue followed by wound coverage to avoid a systemic inflammatory response and optimize scar-free healing. The outcomes are affected by available resources and underlying patient factors, which cause challenges in wound care and suboptimal outcomes.

Here we report a patient with deep dermal injury wounds, who was treated with platelet-rich fibrin (PRF) gel, plasma rich in growth factor (PRGF) gel, and acellular fish skin. Patient’s outcomes regarding healing and scar quality were collected objectively and subjectively for one year after the injury. Wounds treated with acellular fish skin demonstrated accelerated wound healing, a significantly higher water-storage capacity, and better pain relief. Furthermore, improved functional and cosmetic outcomes, such as elasticity, skin thickness, and pigmentation, were demonstrated. It seems that, the PRGF gel and PRF in combination with acellular fish skin grafts resulted in the faster healing of wounds and better functional and aesthetic outcomes than split-thickness skin grafts treatment.

关键词:
  • Wound healing
  • platelet-rich fibrin
  • Transplantation, heterologous
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Biazar E, Zandi R, Haidari-Keshel S, rezaei tavirani M, Vafaee R, Rezaei Tavirani M, 等. Acellular Fish Skin for Deep Dermal Traumatic Wounds Management; Introducing a Novel Dressing. Arch Acad Emerg Med [网际网络]. 2023年11月27日 [见引于 2026年7月8日];12(1):e14. 载于: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2103
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参考

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Wallner C, Huber J, Drysch M, Schmidt SV, Wagner JM, Dadras M, et al. Myostatin upregulation in patients in the chronic phase of severe burn injury leads to muscle cell catabolism. European Surgical Research. 2019;60(1-2):86-96.

Kirsner RS, Margolis DJ, Baldursson BT, Petursdottir K, Davidsson OB, Weir D, et al. Fish skin grafts compared to human amnion/chorion membrane allografts: a double‐blind, prospective, randomized clinical trial of acute wound healing. Wound repair and regeneration. 2020;28(1):75-80.

Lee KC, Dretzke J, Grover L, Logan A, Moiemen N. A systematic review of objective burn scar measurements. Burns & trauma. 2016;4.

Kamalvand M, Biazar E, Daliri-Joupari M, Montazer F, Rezaei-Tavirani M, Heidari-Keshel S. Design of a decellularized fish skin as a biological scaffold for skin tissue regeneration. Tissue and Cell. 2021;71:101509.

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Alam K, Jeffery SL. Acellular fish skin grafts for management of split thickness donor sites and partial thickness burns: a case series. Military medicine. 2019;184(Supplement_1):16-20.

Biazar E, Heidari Keshel S, Rezaei Tavirani M, Kamalvand M. Healing effect of acellular fish skin with plasma rich in growth factor on full‐thickness skin defects. International Wound Journal. 2022;19(8):2154-62.

Magnusson S, Kjartansson H, Baldursson BT, Astradsdottir K, Ågren MS, Hilmarsson H, et al. Acellular fish skin grafts and pig urinary bladder matrix assessed in the collagen-induced arthritis mouse model. The International Journal of Lower Extremity Wounds. 2018;17(4):275-81.

Chicharro-Alcántara D, Rubio-Zaragoza M, Damiá-Giménez E, Carrillo-Poveda JM, Cuervo-Serrato B, Peláez-Gorrea P, et al. Platelet rich plasma: new insights for cutaneous wound healing management. Journal of functional biomaterials. 2018;9(1):10.

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Bayer A, Wijaya B, Möbus L, Rademacher F, Rodewald M, Tohidnezhad M, et al. Platelet-released growth factors and platelet-rich fibrin induce expression of factors involved in extracellular matrix organization in human keratinocytes. International journal of molecular sciences. 2020;21(12):4404.

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Costa BA, Lima Júnior EM, de Moraes Filho MO, Fechine FV, de Moraes MEA, Silva Júnior FR, et al. Use of tilapia skin as a xenograft for pediatric burn treatment: a case report. Journal of burn care & research. 2019;40(5):714-7.

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Fiakos G, Kuang Z, Lo E. Improved skin regeneration with acellular fish skin grafts. Engineered Regeneration. 2020;1:95-101.

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