Treatment of Partial Thickness Burn Wounds with Cultured Epidermal Homografts

동종 배양표피를 이용한 부분층 2도 화상의 치료

  • Choi, Joong Ho (Department of Plastic and Reconstructive Surgery, Hangang Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Ko, Jang Hyu (Department of Plastic and Reconstructive Surgery, Hangang Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Seo, Dong Kook (Department of Plastic and Reconstructive Surgery, Hangang Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Lee, Jong Wook (Department of Plastic and Reconstructive Surgery, Hangang Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Jeon, Saewha (TEGO Science Incorporated) ;
  • Oh, Suk Joon (Department of Plastic and Reconstructive Surgery, Hangang Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Jang, Young Chul (Department of Plastic and Reconstructive Surgery, Hangang Sacred Heart Hospital, College of Medicine, Hallym University)
  • 최중호 (한림대학교 의과대학 한강성심병원 성형외과학교실) ;
  • 고장휴 (한림대학교 의과대학 한강성심병원 성형외과학교실) ;
  • 서동국 (한림대학교 의과대학 한강성심병원 성형외과학교실) ;
  • 이종욱 (한림대학교 의과대학 한강성심병원 성형외과학교실) ;
  • 전세화 (테고사이언스(주)) ;
  • 오석준 (한림대학교 의과대학 한강성심병원 성형외과학교실) ;
  • 장영철 (한림대학교 의과대학 한강성심병원 성형외과학교실)
  • Received : 2006.04.24
  • Published : 2006.09.10

Abstract

Purpose: Since Rheinwald and Green laid the foundation of epidermal cell culture technology in 1975, many clinicians and scientists have attempted to prove the effectiveness of cultured epidermal autologous(CEA) or homogenetic(CEH) grafts in the wound healing process. In contrast to CEA which cultured from a patient's skin on demand, Cultured Epidermal Homograft(CEH) can be readily available to use on cleaned wounds. In this study, we conducted a controlled clinical trial in order to confirm the effectiveness of CEH in treating partial-thickness 2nd degree burn wounds. Methods: From July 2003 to January 2004 at Hangang Sacred Heart Hospital, we performed a clinical trial in which 35 patients who suffered from 2nd degree burns were enrolled. Wounds were randomly divided into two parts, control and test sites. Test sites were treated with allogeneic keratinocyte sheets ($Kaloderm^{(R)}$, Tegoscience Inc.), a CEH commercialized in Korea. Results: All wounds healed completely without any major complication. The complete healing took $8.3{\pm}2.8$($mean{\pm}S.D.$) days in the test sites as opposed to $11.7{\pm}3.3days$ in the control sites. Conclusion: Based on these results, we concluded that CEH accelerates re-epithelialization of partial thickness burn wounds and CEH can be an safe alternative to skin grafts for 2nd degree burns.

Keywords

References

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