Template for Skin Regeneration

    January 2011 in “ Plastic and Reconstructive Surgery
    Ioannis V. Yannas, Dennis P. Orgill, John F. Burke
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    TLDR The dermal regeneration template is effective in skin regeneration, reducing scarring, and has potential for future improvements.
    The document from January 1, 2011, outlines the effectiveness and clinical applications of a dermal regeneration template (DRT) in skin regeneration, particularly for burn victims and reconstructive surgery. The DRT, which includes a silicone layer and a collagen-glycosaminoglycan scaffold, has been shown to reduce scarring and promote dermal regeneration. It has been used in various clinical settings, with a multicenter study involving 841 burn sites in 216 patients showing a 76.2% mean take rate of DRT and an 87.5% mean take rate of thin epidermal autograft. The document highlights the importance of proper application and monitoring to reduce infection and maximize effectiveness. Long-term results indicate that DRT-treated skin can achieve elasticity comparable to normal skin. Future improvements may allow for single-stage skin regeneration by seeding the template with keratinocytes and could include simultaneous hair restoration for calvarial defects. The DRT has been approved by the FDA and is considered a valuable tool for plastic surgeons, with ongoing research to enhance its regenerative capabilities and cost-effectiveness.
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