Artikel
SpinCare for treatment of facial burns
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Autoren
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Bong-Sung Kim
- Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland
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Riccardo Schweizer
- Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland
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Mauro Vasella
- Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland
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Matthias Waldner
- Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland
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Pietro Giovanoli
- Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland
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Jan Plock
- Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland
| Veröffentlicht: | 13. Januar 2020 |
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Gliederung
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Introduction: The head and neck area is the most frequent site of burn injury worldwide. Its treatment remains an undeniable challenge in burn surgery and so far no universally accepted consensus was found. Due to its rich vascularization, even severe burn wounds of the face tend to heal faster as well as with less overall scarring when compared to other anatomical sites. Thus conservative treatment is tolerated for a longer period in facial burns accentuating the importance of suitable dressing regimens. Closed dressings that are readily applied to other body areas, however, prove to be difficult in burns of the head, face and neck especially in conscious patients. Therefore, for many years our unit has applied topical corticosteroids without additional dressings for most superficial and deep partial thickness burn injuries. Recently, we changed the topical therapy to SpinCare, a technology developed by Nanomedic.
Material and Methods: The SpinCare system is comprised of a hand-held portable device and a single use polymer-based syringe that allows easy application of a transient artificial skin layer. Advantages include excellent adherence to the burned skin, high permeability allowing exudates transfer/gas exchange and an overall patient-friendly healing process that does not require bulky dressings. In this presentation, general information regarding SkinCare will be presented supplemented by our first experience with this new technology on the treatment of facial burns.
Results: SpinCare was easily applied in adult patients with superficial and deep partial thickness burns and all wounds healed without need for further skin grafting. The product was well tolerated by the patients and no immediate adverse events were noted. Patient acquisition and evaluation is ongoing.
Conclusion: SpinCare is a new innovative method for treatment of facial and also other burned areas without obvious acute complications. As the device was introduced in 2019 for facial burns in our Department, long-term results/complications are not available at this time point.
