Research Article

The Estimation of Blood Paramagnetic Center Changes during Burns Management with Biodegradable Propolis-Nanofiber Dressing

Table 1

Effects of management with biodegradable propolis-nanofiber dressing on each wound healing stage.

Hemostasis and inflammatory phaseProliferative phaseTissue remodelling phase

(i) Early phase of inflammation begins when the wound develops, lasts 4-6 days
(ii) Trauma causes peripheral blood platelets and neutrophils to migrate to the injury, forming a fibrin clot to end bleeding, and the inflammatory stage of the healing cascade begins
(iii) Increased free radical formation appears as a result of the local tissue damage and a systemic inflammatory response
(i) Lasts another 3-10 days postinjury
(ii) Fibroblasts, endothelial cells and epithelial cells migrate into the wound bed
(iii) Granulation tissue formation—fibroblasts proliferate and synthesize new components of extracellular matrix
(iv) Angiogenesis—new blood vessels carry oxygen and nutrients necessary for the metabolism and growth of cells, and confer to the granulation tissue its characteristic red, granular appearance
(v) Covering the wound (reepithelialization)—epithelial cells migrate from the wound bed or margins
(i) Begins about 21 days postinjury and can continue for a year
(ii) Wound contraction and scar tissue formation occurs
(iii) Collagen is remodeled from type III to type I cross-linking of collagen reduces scar thickness and makes the skin area of the wound stronger
(iv) The wound fully closes
(v) The cells that had been used to repair the wound but which are no longer needed are removed by apoptosis

Burns management with PLGA 85/15 dressing with 5% propolis
Day 0
(i) Necrosis at the burn induction site and in the wound area from 3 to 15 mm from the edge
(ii) Intense redness and swelling around the necrotic area
(iii) Exudation, visible tissue at the burn site carbonization
Burns management with PLGA 85/15 dressing with 5% propolis
10th day
(i) A thin scab not completely covering the wound area
(ii) The wound is increasingly covered with a thin layer of epidermis
(iii) Bristle growth all over the wound area
(iv) No redness around the wound area
Burns management with PLGA 85/15 dressing with 5% propolis
21st day
(i) The wound covered with pink epidermis,
(ii) Significant reduction in the wound surface
(iii) Small fragments of the elastic and protruding scab
(iv) Regrowth bristles visible at the burn induction site
(v) No edema and inflammation around the wound