Abstract

We present 10 months-old girl patient with severe facial burns which include total face treated with using the collagen-elastin matrix and simultaneously an unmeshed split-thickness skin graft on the 4th day of admittance. Total surface burn area was 50% and all burned area was almost 3rd degree. Graft survival was 100% in this technique. In regard to early results, graft quality was close to normal skin in terms of elasticity, pliability, texture and the color. Good contour was also achieved and no hypertrophic scar occurred. Aesthetic and functional results have been encouraging. The collagen-elastin matrix as a dermal substitute can be a useful adjunct to severe post burn facial reconstruction and may permit to obtain a quick healing. This is the first case of using the collagen-elastin matrix (Matriderm®).

Key Words: Burns; Dermal Substitution; Facial Burns; Graft Survival; Children.