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Skin substitutes for acute and chronic wound healing: an updated review

Dai, Christina, Shih, Shawn, Khachemoune, Amor·2020·Journal of Dermatological Treatment

Abstract

Background: Skin substitutes are designed to accelerate wound healing by providing replacement of extracellular matrix and can be used to promote healing of both acute and chronic wounds.Aim: To describe advantages, disadvantages, and indications for different skin substitutes with the intention of providing a systematic framework that clinicians can easily utilize in clinical practice.Materials and method: We conducted a PubMed, Cochrane Library, and company website search for publications using various search terms associated with skin substitutes.Results: Skin substitutes can be categorized as epidermal, dermal, and composite, depending on the skin component they contain, and further split into different categories depending on their composition and source of material, including xenograft, acellular allograft, cellular allograft, autograft, and synthetic skin substitutes. Because there is no ideal option for skin substitutes that meet all the criteria for optimal wound healing, there is ongoing research evaluating and developing different skin substitute options.Conclusion: Our model of skin substitutes was organized based on the different layers of cutaneous involvement and the origin of the product material. We believe that this framework provides a practical guide for selection of the most appropriate skin substitute based on clinical indication.

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Metadata

Authors
Dai, C., Shih, S., & Khachemoune, A.
Venue
Journal of Dermatological Treatment
Published
2020-01-30
Volume
31
Issue
6
Pages
639-648
ISSN
  • 0954-6634 (ISSN-L)
  • 1471-1753
OpenAlex
W2893185060
Cited by
258
References
1
FWCI
5.94
Type
journal article
Language
en
Open access
closed

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