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Overview

Tissue

Dressings

 

 

III. Use of Collagen-Matrix Dressing in Wounds & Burns

 

Section 3a.  Overview

A number of collagen matrix wound dressing have been developed in treatment of wounds and burns because of the importance of the extracellular matrix in wound healing.  The addition of dermal like properties should improve the healing process, especially in the full thickness wound which has no remaining dermis to orchestrate healing.  In addition, less scar should be present if the wound heals faster.  These products also maintain a moisture layer on the wound surface providing for moist wound healing.

Most of the matrix wound dressings provide a simple artificial collagen scaffold to help organize new tissue formation.  New cells can migrate on the collagen fibers into the healing wound.  The structural component of the wound matrix is however usually not in its natural form in most products. The collagen used in most products is also denatured so some of the active biological properties are missing. The addition of a glycosaminoglycan component provides absorptive properties as well as providing a conduit for nutrients to the new wound tissue. The ability of the product to improve healing will depend on it’s structural and functional components.

A unique wound matrix product has been developed from porcine small intestinal submucosa (OASIS Wound Matrix - Healthpoint).  This tough matrix dressing contains biologically active collagen type I in its natural structural and functional form.  In addition, the matrix contains biologically active glycoproteins, fibronectin and growth factors including fibroblast growth factors.  Application onto a wound bed should provide a more natural matrix-like layer which incorporates into the wound bed.

In summary, providing a extracellular matrix-like layer to a wound bed, should improve healing and help control scarring.

 

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