What is Epibole in a wound?

What is Epibole in a wound?

Epibole refers to rolled or curled-under closed wound edges that may be dry, callused, or hyperkeratotic. Epibole tends to be lighter in color than surrounding tissue, have a raised and rounded appearance, and may feel hard, rigid, and indurated.

How do you treat undermining wounds?

Common classes of drugs used in managing symptomatic, undermined wounds include:

1. Analgesia for pain relief.
2. Antibiotics to limit microbial growth and contain wound infection.
3. Anti-inflammatory drugs to relieve wound site inflammation.

How is Overgranulation treated in wounds?

TREATING OVERGRANULATION In an overgranulated wound, the use of a dressing that promotes granulation should be stopped and changed to one that provides a warm moist environment, reduces overgranulation and promotes epithelialisation, such as a foam dressing.

How do I get rid of Epibole?

Generally, epibole is treated via surgical excision or chemical cauterization. For the homebound patient, these treatments are not always a viable option due to limitations of: accessibility, tolerance, affordability, comorbidities, and function.

Why does Epibole occur?

When the upper epidermal cells roll down over the lower epidermal cells and migrate down the sides of the wound instead of across, the result is epibole. Edges that roll over ultimately cease migration once epithelial cells of the leading edge come in contact with other epithelial cells on the sides of the wound.

What is the difference between undermining and tunneling?

However, while tunneling usually extends in just one direction, undermining occurs in all directions beneath the wound opening, affecting a larger area of subcutaneous tissue. While undermining may extend to a wider area than tunneling, tunneling usually extends deeper into the subcutaneous tissue.

What causes undermining of a wound?

Undermining is caused by erosion under the wound edges, resulting in a large wound with a small opening. Much like an iceberg, what you see on the surface is not indicative of what lies below.

What is epithelialization mean?

Epithelialization is defined as a process of covering denuded epithelial surface. The cellular and molecular processes involved in initiation, maintenance, and completion of epithelialization are essential for successful wound closure.

What dressing is best for Overgranulation?

Dressings that reduce humidity and exert pressure on the wound to reduce oedema: change from an occlusive to a non-occlusive dressing, use foams. Silver nitrate sticks: some authors consider it as one of the most effective treatments.

What dressing is used for Overgranulation?

In the management of overgranulation, topical antimicrobial products include povidone- iodine, cadexomer-iodine, silver and honey-based dressings (Leak, 2002; Hampton, 2007). Historically, caustic preparations have been used to ‘burn back’ overgranulation tissue.

What is epibole in wound healing?

Preparing document for printing… Clinical Problem: During wound healing, full thickness wounds may become chronic due to closed or rolled non-proliferative wound edges. This condition is known as epibole. Generally, epibole is treated via surgical excision or chemical cauterization.

What are the treatment options for epibole?

Treatment. Treatment for epibole involves reinjuring the edges and opening up the closed tissue, which renews the healing process. Options include conservative or surgical sharp debridement, treatment with silver nitrate, and mechanical debridement by scrubbing the wound edges with monofilament fiber dressings or gauze. Nancy Morgan,…

What is the cause of epibole?

Causes of Epibole When the upper epidermal cells roll down over the lower epidermal cells and migrate down the sides of the wound instead of across, the result is epibole. Edges that roll over ultimately cease migration once epithelial cells of the leading edge come in contact with other epithelial cells on the sides of the wound.

What does epibole look like?

Epibole refers to rolled or curled-under closed wound edges. These rolled edges may be dry, callused, or hyperkeratotic (a thickening of the epidermis, the outermost layer of the skin). Epibole tends to be lighter in color than surrounding tissue, have a raised and rounded appearance, and may feel hard and rigid.