Permanent scarring in a partial thickness scald burn dressed with Biobrane

Biobrane is a biosynthetic wound dressing which has shown to be effective in partial thickness burns by improving wound healing, reducing the pain in dressing changes, and the need to use skin grafts. In addition, it has been shown to reduce both in-patient and outpatient hospital costs and incur no increase in infection rates. Recently, the first reported case of punctate scarring from the use of Biobrane in a paediatric scald was published [Hassan Z, Shah M. Punctate scarring from use of porous Biobrane. Burns 2006;32:258-60]. We now report a second case of scarring with Biobrane, in which the Biobrane was left in place for a full 14 days, as recommended by the manufacturers.