Cornell University researchers have
developed a new method of healing that encourages healthy skin to permeate
wounded areas of the body, which could be beneficial for burn victims.
Abraham Stroock, study leader and associate professor of chemical and biomolecular
engineering at Cornell University, and Dr. Jason A. Spector, assistant
professor of surgery at Weill Cornell Medical College, have used advanced tissue
graft designs to encourage growth of the vascular system, which
is a network of vessels that carry blood and circulate fluid in the body.
The Cornell team developed dermal templates made of a biomaterial called type 1
collagen. The biomaterial is composed of tissue scaffolds the size of a dime,
and has a consistency much like tofu.
The dermal templates were designed to encourage vascular growth to a wounded
area through networks of microchannels. This system promotes growth of the vessels
and dermis tissue, and
the healthy tissue and cells are guided toward the wound quickly through the
"The challenge was how to promote vascular growth and to keep this newly
forming tissue alive and healthy as it heals and becomes integrated into the
host," said Stroock.
The researchers found that healthy tissue and cells could be guided through the
microchannels to the wound quickly and in an organized fashion. While dermal
plates are not a new discovery, the Cornell scientists' system of microchannels
is a new addition to the familiar system.
Spector noted that traditional dermal plates without the microchannels do not
promote the growth of healthy tissue and
cells as quickly as Cornell's new system.
"They can take a long time to incorporate into the person you're putting
them in," said Spector. "When you're putting a piece of material on a
patient and the wound is acellular, it has a big risk for infection and
requires lots of dressing changes and care. Ideally you want to have a product
or material that gets vascularized very rapidly."
Since type 1 collagen is biocompatible with no living cells, it does not raise
concerns regarding rejection of the template or immune system response.
In addition, this less invasive system could one day replace the need for
multiple surgeries over exposed structures like tendons and bones. Also, the
reduced time needed for healing will get patients up and going faster.