Perilesional injections of autologous fat graft in burn healing

Authors

Keywords:

burns, fat tissue, scar healing.

Abstract

Introduction: Burns are devastating injuries and the appearance of hypertrophic scars is a frequent complication. The classic treatment of dermal burns offers unaesthetic results in healing; however, the literature reports that autologous fat grafts favor revascularization, epithelialization, and aesthetic improvement.
Objective: To determine the results of the application of perilesional injections of autologous fat graft in patients with dermal burns.
Methods: A quasi-experimental study was performed, without randomization. A non-probabilistic test was used and the sample was made up of 40 patients in 2 groups: Group I with 20 subjects who underwent injections of autologous fat and the classic burn cure and in Group II 20 subjects with only the classic burn cure. The variables mean epithelialization time, presence of unsightly scars, appearance of keloids and hypertrophic scars were evaluated.
Results: The patients in group I, with injections of fat graft, had a mean epithelialization time of 10 days less than the 14 days in group II. In addition, less unsightly scars appeared and a lower tendency to the appearance of keloids and hypertrophic scars. Finally, the patients in the group had a lower score on the Patient and Observer Scar Assessment Scale (POSAS) scale.
Conclusions: Perilesional autologous fat graft injections reduce the appearance of unsightly scars, decreasing epithelialization time and improving the vascularization, pigmentation, thickness, relief, elasticity and surface of the scar.

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Author Biographies

Aramis Estévez Aparicio, Universidad de Ciencias Médicas de La Habana. Hospital Clínico-Quirúrgico Miguel Enríquez

Servicio de Cirugía Plástica y Caumatología

Diana de Arazoza Borges, Universidad de Ciencias Médicas de La Habana. Hospital Clínico-Quirúrgico Miguel Enríquez

Servicio de Cirugía Plástica y Caumatología

Daniel Noriega Rodríguez, Universidad de Ciencias Médicas de La Habana. Hospital Clínico-Quirúrgico Miguel Enríquez

Servicio de Cirugía Plástica y Caumatología

Sergio Gonzalez-Garcia, Universidad de Ciencias Médicas de La Habana

Jefe Departamento de Posgrado e Investigaciones. Facultad de Ciencias Médicas Miguel Enríquez

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Published

2023-08-11

How to Cite

1.
Estévez Aparicio A, de Arazoza Borges D, Noriega Rodríguez D, Gonzalez-Garcia S. Perilesional injections of autologous fat graft in burn healing. Rev Cubana Med Milit [Internet]. 2023 Aug. 11 [cited 2025 May 9];52(3):e02302690. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2690

Issue

Vol. 52 No. 3 (2023): July - september

Section

Research Article

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