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Plastic Surgery International
Volume 2011 (2011), Article ID 858093, 5 pages
http://dx.doi.org/10.1155/2011/858093
Research Article

The Introduction of a Protocol for the Use of Biobrane for Facial Burns in Children

A. D. Rogers,1,2 S. Adams,1,2 and H. Rode1,3

1Burns Unit, Red Cross War Memorial Children's Hospital, Klipfontein Road, Rondebosch, Cape Town 7700, South Africa
2Division of Plastic Surgery, Groote Schuur Hospital and Red Cross War Memorial Children's Hospital and The University of Cape Town, Cape Town, South Africa
3Division of Paediatric Surgery, Red Cross War Memorial Children's Hospital and The University of Cape Town, Cape Town, South Africa

Received 29 May 2011; Accepted 27 July 2011

Academic Editor: Bishara S. Atiyeh

Copyright © 2011 A. D. Rogers et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Biobrane has become an indispensible dressing with three established indications in acute burns care at our institution: (1) as the definitive dressing of superficial partial thickness facial burns, (2) after tangential excision of deep burns when autograft or cadaver skin is unavailable, and (3) for graft reduction. This paper details our initial experience of Biobrane for the management of superficial partial thickness facial burns in children and the protocol that was compiled for its optimal use. A retrospective analysis of theatre records, case notes and photographs was performed to evaluate our experience with Biobrane over a one-year period. Endpoints included length of stay, analgesic requirements, time to application of Biobrane, healing times, and aesthetic results. Historical controls were used to compare the results with our previous standard of care. 87 patients with superficial partial thickness burns of the face had Biobrane applied during this period. By adhering to the protocol we were able to demonstrate significant reductions in hospital stay, healing time, analgesic requirements, nursing care, with excellent cosmetic results. The protocol is widely accepted by all involved in the optimal management of these patients, including parents, anaesthetists, and nursing staff.