Role Of Mechanical Toothbrush as An Innovative Tool for Wound Bed Preparation of Non-Healing Ulcer After Graft Loss

Surgical debridement is regarded as the gold standard in the management of chronic or non-healing wounds, as it facilitates the promotion of healthy granulation tissue by removing necrotic tissue and foreign debris.1 This process not only reduces the bacterial burden but also enables the potential for tissue culturing, should microbiological analysis be warranted. Surgical excision is typically performed using specialized instruments such as the Weck/Goulian knife or Blair knife, which have long been established as primary tools for this procedure.2 Debriding anatomically challenging areas—such as the inter-web spaces of the hands and feet, delicate regions like the face and dorsum of the hands, or edematous tissues resulting from fluid resuscitation—necessitates a precise and careful approach to prevent damage to viable tissue. We report an innovative and novel technique of using a mechanical toothbrush in aiding surgical wound debridement of a non-healing ulcer after graft loss.