[Methods of burn treatment. Part II: Technical aspects].
The best treatment for burns and scalds depends on the depth of the skin necrosis. Epidermal and superficial dermal burn injuries (IIa) can heal spontaneously with conservative treatment without scar development, but deep dermal or full-thickness burns constitute an absolute indication for surgery. Full-thickness or split-thickness skin grafts are used for wound closure. In the case of extensive burn injuries allografts are used for temporary wound closure. In certain licensed laboratories autologous keratinocytes can be cultured for transplantation. In circumferential burn injuries affecting the extremities or the trunk the rigid eschar has to be incised to relieve the pressure behind it. Following a debridement conservative treatment of superficial dermal burns involving wound coverage with biosynthetic dressings or nanocristalline silver gauze dressings or use of special disinfecting ointments can be implemented.
Pallua
N
N
Klinik für Plastische Chirurgie, Hand- und Verbrennungschirurgie, Universitätsklinikum Aachen. npallua@ukaachen.de
von Bülow
S
S
D000279:Administration, Cutaneous; D001458:Bandages; D001684:Biological Dressings; D002056:Burns / Q000601:surgery*; D002478:Cells, Cultured; D003646:Debridement / Q000295:instrumentation; D004202:Disinfectants / Q000008:administration & dosage; D006801:Humans; D015603:Keratinocytes / Q000637:transplantation; D009336:Necrosis / Q000601:surgery; D012867:Skin / Q000473:pathology; D016038:Skin Transplantation; D013525:Surgical Instruments; D014945:Wound Healing
D004202:Disinfectants