People who are not good candidates for CTPs include those who:
Still have an ongoing infection or dead tissue to be debrided.
Do not have good nutrition.
Have other chronic medical conditions.
Continue to smoke.
Have uncontrolled vascular disease.
Have uncontrolled diabetes.
To see if you are a candidate for a cellular tissue-based product for your wound, Dr. Parent recommends a consultation with a wound healing expert. The doctor can do a physical exam and discuss your treatment goals. “That first visit is where we come up with the strategy of possibly using our wound dressing adjuncts or cellular tissue-based products,” he says. “I usually meet several times with patients who have chronic wounds. But we start with those basics that I’ve been talking about, making sure that they’re all covered and optimized. I would also examine the wound and take some measurements. “We might give a numbing agent and actually debride it right there in the office. I tend to take every opportunity I can when I see a patient with a wound to take off the surface of it because there’s a bacterial burden that builds up on the surface. Again, that’s directly toxic to migration of skin cells into that area. So, we use every opportunity to take off the surface of it, get it down to clean, healthy tissue, before using the CTP.”