The denuded areas on our patient were treated with the dressings (Biobrane â ; Smith & Nephew, Hull, Yorkshire, UK), applied under general anaesthetic, which the patient had initially required for pain control. Her skin re-epithelialized within 10 days without any secondary infection. She was discharged from the burns unit after 2 weeks. Four weeks later she had only generalized postinflammatory hyperpigmentation and hypopigmentation changes (Fig. 2a-c). She remains under follow up with the dermatology and ophthalmology departments.Paediatric TEN is a rare and devastating skin condition that can cause significant long-term morbidity. Management is largely supportive and includes frequent dressing changes that are painful. Biobrane â is an artificial stretchable dressing composed of nylon mesh, silicone and porcine-derived collagen licensed for covering clean partialthickness burns or as a protective covering over meshed skin grafts. It is associated with fewer dressing changes compared with silver-impregnated dressings 1 (with normal dressings changed every 2-3 days, dependent on exudate) with subsequent improved pain control, reduced anxiety, further mobility 2 and reduced healing times, allowing for quicker discharge. As the wound heals, the Biobrane membrane will begin to lift from the skin and can be trimmed back with clean scissors. The timing of its use is important as secondary skin infection is a contraindication, so early discussion with plastic surgeons is vital.To our knowledge, there are no prior reports of the use of a synthetic skin membrane in this context. We recommend further evaluation of this skin equivalent and others in paediatric and adult patients with TEN, including blistering conditions with superficial skin loss.