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Updated: Jul 10, 2026

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
Topical oxygen emulsion: a novel wound therapy
Stephen C Davis1, Alejandro L Cazzaniga, Carlos Ricotti
1Department of Dermatology & Cutaneous Surgery, University of Miami School of Medicine, 1600 NW 10th Ave, Room 2089, Miami, FL 33136, USA. SDavis@med.miami.edu
Topical oxygen emulsion (TOE) significantly speeds up skin healing for second-degree burns and partial-thickness wounds. This oxygen therapy promotes faster epithelialization, offering potential benefits for various wound types.
Area of Science:
- Wound healing research
- Biomedical engineering
- Dermatology
Background:
- Oxygen is vital for wound repair, influencing phagocytosis and infection rates.
- Increased oxygen tension in wounds can accelerate healing processes.
Purpose of the Study:
- To evaluate the efficacy of a topical oxygen emulsion (TOE) on second-degree burns and partial-thickness wounds.
- To assess the impact of TOE on the rate of wound epithelialization.
Main Methods:
- A double-blind, controlled in vivo study was conducted on pigs with induced second-degree burns and partial-thickness wounds.
- Wounds were treated with TOE, TOE vehicle, or exposed to air.
- Epithelialization was assessed using a salt-split technique.
Main Results:
- Topical oxygen emulsion (TOE) significantly enhanced the rate of epithelialization compared to both vehicle and control groups (P = .001).
- These findings indicate that topical oxygen may be beneficial for acute and burn wound healing.
Conclusions:
- TOE significantly accelerates epithelialization in partial-thickness excisional wounds and second-degree burns.
- This therapy holds potential clinical implications for surgical and burn wound management, promoting earlier barrier function.
- Further clinical studies are warranted to explore TOE's benefits for chronic wounds and surgical incisions.
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