Diagnosis of structure of donor site skin in patients with burns and sepsis according to ultra-high-frequency ultrasound

Maxim Ryabkov; Ksenia Petrova; Nikita Koloshein; Artem Karpenko; Igor Pogodin; Alexandr Luzan

doi:10.1117/12.2686148

27 November 2023 Diagnosis of structure of donor site skin in patients with burns and sepsis according to ultra-high-frequency ultrasound

Maxim Ryabkov, Ksenia Petrova, Nikita Koloshein, Artem Karpenko, Igor Pogodin, Alexandr Luzan

Author Affiliations +

Proceedings Volume 12770, Optics in Health Care and Biomedical Optics XIII; 127703R (2023) https://doi.org/10.1117/12.2686148
Event: SPIE/COS Photonics Asia, 2023, Beijing, China

Conference Poster

Abstract

The lack of intact skin in extensive burns makes it necessary to repeatedly use donor sites to obtain grafts. This is possible if there is sufficient thickness and structure of the donor site skin. The thickness and structure of the donor site skin may deteriorate due to sepsis. Purpose: to study the structure of the donor site skin in patients with burns and sepsis using Ultra-High Frequency Ultrasound (UHFUS) data. The study involved 44 patients with skin burns: 30 without sepsis, 14 with sepsis. Donor site was examined 12 days after graft harvesting. Methods - UHFUS (75 MHz), histology, immunohistochemistry. Results. Donor site without sepsis was characterized by thin epidermis and low overall skin thickness (72% compared to intact skin). At the same time, the papillary layer was increased to 127% (p=0.022). In patients with sepsis, all skin layers, including the papillary dermis, were thinner than in intact skin and thinner than in patients without sepsis. Histomorphometry confirmed UHFUS results.

(2023) Published by SPIE. Downloading of the abstract is permitted for personal use only.

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Maxim Ryabkov, Ksenia Petrova, Nikita Koloshein, Artem Karpenko, Igor Pogodin, and Alexandr Luzan "Diagnosis of structure of donor site skin in patients with burns and sepsis according to ultra-high-frequency ultrasound", Proc. SPIE 12770, Optics in Health Care and Biomedical Optics XIII, 127703R (27 November 2023); https://doi.org/10.1117/12.2686148

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