Initial experiences using non-cultured autologous keratinocyte suspension for burn wound closure.

Early complete wound closure and thus reduction of excessive scar formation still represent a major clinical challenge in severely burned patients. A novel concept to cover large burn wounds consists of the application of non-cultured epithelial cell suspension within the first days. Herein, we report our experiences with three patients treated with CellSpray XP. According to the amount of cell suspension required, a skin biopsy was harvested and then processed in an external laboratory. Two days later the suspension containing autologous non-cultured keratinocytes was applied using an aerosol system. All wounds healed rapidly and virtually no signs of hypertrophic scarring were observed 6 months later.

[1]  F. A. Navarro,et al.  Melanocyte repopulation in full-thickness wounds using a cell spray apparatus. , 2001, The Journal of burn care & rehabilitation.

[2]  G. T. Shires,et al.  GRAFTING OF BURN PATIENTS WITH ALLOGRAFTS OF CULTURED EPIDERMAL CELLS , 1983, The Lancet.

[3]  F. Fraulin,et al.  Autotransplantation of epithelial cells in the pig via an aerosol vehicle. , 1998, The Journal of burn care & rehabilitation.

[4]  A. Dobozy,et al.  Keratinocyte grafting: a new means of transplantation for full-thickness wounds. , 1988, The Journal of dermatologic surgery and oncology.

[5]  F. Wood,et al.  The use of cultured epithelial autograft in the treatment of major burn wounds: eleven years of clinical experience. , 2006, Burns : journal of the International Society for Burn Injuries.

[6]  F. A. Navarro,et al.  Sprayed keratinocyte suspensions accelerate epidermal coverage in a porcine microwound model. , 2000, The Journal of burn care & rehabilitation.

[7]  E. Deitch,et al.  Hypertrophic burn scars: analysis of variables. , 1983, The Journal of trauma.