BACKGROUND Reports of burn injuries in children are usually made by highly specialized burn units. Our facility admits children with burns covering < 20% total body surface area, while those with major burns are transferred to burn units at tertiary care facilities. OBJECTIVES To review our experience with thermal burns. METHODS We conducted a retrospective review of all thermal burns admit...

BACKGROUND AND AIM Two types of dressing, occlusive and exposure dressing, are commonly used in burn units. A dressing is said to be occlusive if a moist wound surface is maintained when the dressing is in place. This study was designed to compare the effectiveness of occlusive and exposure dressing in controlling burn infections. PATIENTS AND METHODS Two hundred patients with second-degree b...

We evaluate function outcomes of the reverse-flow ALT perforator flap to reconstruct severe post-burn knee contracture. Between October 2012 and December 2014, 10 patients with severe post-burn knee contracture were subjected to reconstruction with 10 ipsilateral reversed-flow ALT perforator flaps. All the patients were male. Ages ranged from 15 to 47 years (mean = 32 years). Time from burn inj...

Harvesting of autografts results in donor site morbidities and is limited in scenarios such as large total body surface area burns. In these instances, coverage is increased by meshing grafts at the expense of delayed biologic closure. Moreover, graft meshing increases the likelihood of contraction and hypertrophic scarring, limits range of motion, and worsens cosmesis. Many tissue engineering ...

Toxic epidermal necrolysis (TEN) is a rare potentially lifethreatening drug-induced skin disorder resulting in extensive mucocutaneous exfoliation and systemic involvement. TEN is now generally considered to result from a disregulated immune reaction against epithelial cells. TEN was first described by Alan Lyell [1] and is therefore commonly referred to as Lyell’s disease or syndrome. It is cl...

AIMS To facilitate the use of Biobrane for those burn care practitioners not familiar with this material. METHODS Two techniques have been developed through extensive use of Biobrane over many years, in both sheet and glove form. These techniques have been described and illustrated with photographs. RESULTS The use of these techniques has allowed the corresponding author to markedly reduce ...

BACKGROUND The hands are commonly affected in severe thermal burn injuries. Resulting contractures lead to significant loss of function. Burn contracture release and skin grafting are necessary to restore hand function. We report a case in which surgical reconstruction of a volar hand burn was performed with full-thickness skin grafting. The patient had a 40-year follow-up to assess the functio...

Chemical burns account for a small percentage of admissions to burn units. Wet cement is a poorly recognized cause of chemical burn. As the construction industry is growing, individuals will likely have more contact with this material and be more prone to its harmful effects. Wet cement can cause severe full-thickness burns with prolonged contact, but this property is not well known among profe...

The purpose of this study was to create a fibrin-based human skin substitute in vitro with epidermal and dermal component and to assess its healing potential in deep partial and full thickness burns. Fibrin scaffolds were prepared from commercial fibrin glue kits. Human fibroblasts were cultured in fibrin gel. Human keratinocytes were seeded on the top of the gel. Viability of cells was determi...