Oxygen transmission rates of skin substitutes and graft survival

• Published in: Burns 2023-11, Vol.49 (7), p.1654-1662
• Main Authors: YASTI, Ahmet Çınar, ÇOLAK, Bayram, ÖZCAN, Fatih, KISMET, Kemal, SÜREL, Aziz Ahmet, Akgün, Ali Emre, AKIN, Merve
• Format: Article
• Language: English
• Subjects: Burns; Chronic wound; Graft Survival; Grafting; Humans; Oxygen transmission; Scaffold; Skin; Skin Transplantation - methods; Skin, Artificial; Wound Healing
• ISSN: 0305-4179; 1879-1409; 1879-1409
• DOI: 10.1016/j.burns.2023.05.015

Oxygen is required for cell migration into the scaffold and for the survival of the overlying graft in the use of a single-layer scaffold. In the absence of diffusion from the avascular wound base, such as in areas above the bone/tendon, oxygen delivery from the lateral edges of the scaffold is important. This study compared the oxygen permeability of skin scaffolds, currently commercially available in Turkey (Nevelia®, MatriDerm®, and Pelnac®), in the lateral plane. To measure oxygen permeability, an interconnected closed system was created. Oxygen permeability was evaluated based on the color change that occurred as a result of the reaction of iron with oxygen. After the dermal matrices placed in the closed system were exposed to oxygen, the color change on the surface of the dermal matrices was measured, and electron microscopic images were recorded to compare deformation before and after the procedure. Two scaffolds did not show deformation after the procedure while Pelnac® had minimal deformation. The oxygen rates on the nitrogen side of the test apparatus were found to be 29%, 34%, and 27% for Nevelia®, MatriDerm®, and Pelnac®, respectively; and the oxygen transmission lengths (length of color change) of these scaffolds in the lateral plane were 1, 2, and 0.5 cm, respectively. Although none of the scaffolds showed significant deformation, and all continued to exhibit their scaffold properties after the procedure, MatriDerm® was determined to be the most suitable scaffold for use in avascular areas, with a 2-cm oxygen transmission length in terms of lateral oxygenation. •A celluar dermis and artificial dermal matrices have developed and used for full-thickness skin loss.•Oxygen is required for cell migration in to the skin scaffold.•Oxygen transmission along the surfaces of skin scafolds should be focused.•MatriDerm was determined to be the most suitable scaffold for use in avascular areas.