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BY-Nilasish Pani
Guide-Dr. Bibhuti Bhusan Nayak
Associate Professor
Plastic Surgery
SCBMCH
Skin Substitutes
Temporary-skin
substitutes
BIOLOGICAL
> Human
allograft
> Xenograft
> Amniotic
membrane
> Collagen
SYNTHETIC
> Duoderm
> Opsite
> Omniderm
BIO-
SYNTHETIC
> Biobrane
> Integra
Permanent-skin
substitutes
> CEA
> ADM
> COMPOSITE
GRAFT
Allograft skin
Langerhans cell express class-2 Ag
Graft rejection within 2 to 3 wk
Decrease in graft rejection by- 1) uv irradiation
2)incubation in glucocorticoid
3)immunosuppresion
AUTOGRAFT
AUTOGRAFT
+
ALLOGRAFT
7th DayDay of Application
Auto-meshgrafts covered with
amnion during the operation
Appearance at end of treatment
Same case
COMMERCIAL
Bovine, Porcine, fish, human
amnion
Sheep(intestine,tendo-achilles)
FOUND IN EXTRACELLULAR MATRIX
20 types (I,III m/c) 25-35%body protein
INSOLUBLE FIBROUS PROTEIN
Chief const of connective tissue Organic sub of bones
Features & Properties
PRE OP
7TH DAY POST OP
AFTER CLEANING WITH NS
AFTER COLLAGEN APPLICN
(INTEGRA)
inner biodegradable
memb. [bovine collagen+
chondroitin SO4]
(dermal component)
Gets vascularised,
Fibroblasts migrate
Outer silicone [temporary]
(epiderm. component)
Protects wound from
desiccation/infection
Removed after 3 wks
Skin substitutes
Skin substitutes
Skin substitutes
Skin substitutes
Skin substitutes
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Skin substitutes
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