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Reconstruction of Electrical Burn Wounds Using Acellular Dermal Matrix: A Case Report and Literature Review
Rodrigo Davila-Diaz1, Edwing Michel Jaimes-Duran1, Mauricio Gutierrez-Alvarez1
1Plastic and Reconstructive Surgery, Hospital Central Sur de Alta Especialidad Petróleos Mexicanos (PEMEX), Mexico City, MEX.
None:
Electrical burns present a therapeutic challenge due to the depth and extent of tissue damage. Acellular dermal matrix (ADM) has emerged as a promising alternative for complex wound coverage. Our objective is to describe the use of ADM in electrical burns. We present the case of a 52-year-old male patient with an 11.5% total body surface area electrical burn on the left side of the neck who was treated with surgical debridement and ADM application directly onto the prepared wound bed and secured with sutures and dressings. It acts as a scaffold for the patient's tissue regeneration, and an autologous skin graft is subsequently placed. Tissue integration and functional outcomes were evaluated six months after the initial injury. ADM facilitated dermal regeneration, reduced skin contracture, and improved both cosmetic and functional outcomes. ADM is a viable option for the management and coverage of electrical burn injuries, promoting wound healing and reducing complications.
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