The versatility of biodegradable temporising matrix – A 63 paediatric case series with complex wounds
Kristen Storey,
Minella Lalloz,
Kay-Tai Choy,
Craig A. McBride,
Catherine McMillan,
Romi Das Gupta,
Bhaveshkumar Patel,
Kelvin Choo,
Giorgio Stefanutti,
Peter Borzi,
Yun Phua,
Stuart Bade,
Bronwyn Griffin,
Roy M. Kimble
Affiliations
Kristen Storey
Queensland Children’s Hospital, Brisbane, Queensland, Australia; Corresponding author at: Queensland Children Hospital, 501 Stanley St, Sth Brisbane 4101, Australia.
Minella Lalloz
Queensland Children’s Hospital, Brisbane, Queensland, Australia
Kay-Tai Choy
Queensland Children’s Hospital, Brisbane, Queensland, Australia
Craig A. McBride
Queensland Children’s Hospital, Brisbane, Queensland, Australia; University of Queensland, Brisbane, Queensland, Australia; Queensland University of Technology, Brisbane, Queensland, Australia
Catherine McMillan
Queensland Children’s Hospital, Brisbane, Queensland, Australia
Romi Das Gupta
Queensland Children’s Hospital, Brisbane, Queensland, Australia
Bhaveshkumar Patel
Queensland Children’s Hospital, Brisbane, Queensland, Australia; Queensland University of Technology, Brisbane, Queensland, Australia
Kelvin Choo
Queensland Children’s Hospital, Brisbane, Queensland, Australia
Giorgio Stefanutti
Queensland Children’s Hospital, Brisbane, Queensland, Australia
Peter Borzi
Queensland Children’s Hospital, Brisbane, Queensland, Australia; Queensland University of Technology, Brisbane, Queensland, Australia
Yun Phua
Queensland Children’s Hospital, Brisbane, Queensland, Australia; Queensland University of Technology, Brisbane, Queensland, Australia
Stuart Bade
Queensland Children’s Hospital, Brisbane, Queensland, Australia; Queensland University of Technology, Brisbane, Queensland, Australia
Bronwyn Griffin
Griffith University, Brisbane, Queensland, Australia
Roy M. Kimble
Queensland Children’s Hospital, Brisbane, Queensland, Australia; University of Queensland, Brisbane, Queensland, Australia; Queensland University of Technology, Brisbane, Queensland, Australia
Intro: Treating complex paediatric wounds is a challenge for many clinicians. Biodegradable Temporising Matrix (BTM) is a completely synthetic product that has shown promise in adults with acute burns, complex wounds, and reconstructive procedures. Currently, there is little documentation regarding the use of BTM in the paediatric population. Method: A retrospective chart review was conducted of all children who required application of BTM for wound treatment. Children were grouped into categories according to the type of injury or condition including thermal, friction, and electrical injuries, scar reconstruction, and various wound defects. Outcomes of interest included infection rates, time to application of BTM and split-thickness skin graft (SSG), dressings used, and overall functional and cosmetic outcomes. Results: 63 children were identified. Thermal (19/63) and friction (10/63) injuries represented the largest groups. Males accounted for 68 % of total children with lower limbs and feet most often affected. The median time for application of BTM was 7.5 days and 27 days from time of application of BTM to SSG. BTM provided satisfactory options for early wound closure and the ability to convert complex wounds, however it still does not negate the need for scar management. Conclusion: From our review, BTM is a versatile product that has shown positive results for the treatment of complex wounds in the paediatric population. It represents the largest consecutive BTM case series in either adult or paediatric populations to date.
