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Garlic burn: The real factsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I thank Dr. Das for his interest in our paper . I believe Dr. Das thought the term “associated and underlying pathology” used in our paper meant the biochemical/inflammatory changes at the site of garlic application. This is not correct. What we meant was to highlight the underlying causes which have led to the use of garlic. This is clear from the discussion and the table that documents the underlying causes in previously reported cases. On the other hand, the points raised by Dr. Das are interesting because as far as I know, no one has ever studied the exact biochemical or inflammatory markers in the skin injured by ...
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: M.M. Al-Qattan Tags: Letters to the Editor Source Type: journals

Garlic burn: The real factsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I appreciate the interesting article titled ‘Garlic burns: Case reports with an emphasis on associated and underlying pathology’ by Mohammad M Al-Qattan . The author claims that the article emphasises on the underlying pathology. I disagree with this claim because this article did not consider the underlying pathology but rather relied on patient history. The article highlighted the underlying causes that led to the use of garlic. The patient's history may have helped to understand these causes. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Srijit Das Tags: Letters to the Editor Source Type: journals

Cell-phone based multimedia messaging service (MMS) and burn injuriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The determination of the injured body surface and the depth of the burn injury are usually determined by visual inspection only. The visual assessment, however, is greatly dependent on the examiners’ experience. Transmission of digital images in remote diagnosis of burn injuries has been advocated as early as 1999 in Burns . The transmission of JPEG images after compression of up to 50 times of the original size did not reduce the usefulness of the interpretation of the digital images. The reliability of digital images to assess burn wounds was issued in an UK-based study with little differences observed between digital ...
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Karsten Knobloch, Hans-Oliver Rennekampff, Peter M. Vogt Tags: Letters to the Editor Source Type: journals

Fatal rescue burnsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
At the request of the Editor of Burns, we take this opportunity to comment on the letter entitled “Fatal rescue burns: possible theories of causation” by Rao and Kumaraswamy . In the recent past, following the publication of the article related to ‘rescue burns’ by Kumar et al. , a string of allied articles are published in the journal Burns . It is disappointing to note that the authors have largely misinterpreted the concluding part of introduction that is meant to discuss the present case with reference to the theories available in literature and not to propose new theories for the same. When there are eye-witne...
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Tanuj Kanchan, Ritesh G. Menezes, B. Suresh Kumar Shetty Tags: Letters to the Editor Source Type: journals

Fatal rescue burns—Possible theories of causationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We read an interesting case report ‘Fatal rescue burns’ by Kanchan et al., which made us postulate about the possible causes of the extent of fatal burn injuries. The authors used the word ‘fatal’ based on the extent of burns sustained by the rescuer (total body surface area (TBSA)—70%) and the term ‘rescue burns’ based on the evidence of eyewitnesses and the preliminary investigations into the incident. The authors have not highlighted the various theories stating the possibility of the rescuer sustaining fatal rescue burns, as mentioned in the introduction. (Source: Burns : Journal of the International Soci...
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: P.P. Jagadish Rao, M. Kumaraswamy Tags: Letters to the Editor Source Type: journals

Careful attention to graft loss areas can prevent forgotten staples in burn patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We appreciate Dr. Menezes et al. comments on our article: “Forgotten Staples” . They have a question about the legal aspects of this complication and also a comment about a preventive method for this event that we will discuss about them respectively. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Ali Akbar Mohammadi, Hamed Ghoddusi Johari Tags: Letters to the Editor Source Type: journals

Forgotten staplesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the present era of increasing litigations against doctors , the manuscript entitled “Forgotten staples” by Mohammadi et al. did attract our attention. Mohammadi et al. have mentioned that the method of choice for skin graft fixation in many burn centers is skin stapling. At Shiraz Burn Research Center in Iran, Mohammadi et al. found forgotten staples in 73 patients out of the 2000 skin grafted patients that they followed over a period of four years, and more importantly in more than two-thirds of the cases, patients were symptomatic. In the cohort of symptomatic patients with forgotten staples examined by Mohammadi ...
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Ritesh G. Menezes, P.P. Jagadish Rao, S. Manjunath, Aman Chauhan, Stany W. Lobo, Tanuj Kanchan, Y.P. Raghavendra Babu Tags: Letters to the Editor Source Type: journals

Twelve years epidemiological study of paediatric burns in Ain Shams University, Burn Unit, Cairo, EgyptEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Burns represent an extremely stressful experience and constitute a major concern in the paediatric age group with respect to morbidity and mortality. Although burns are common in children, most of these happen at home and are largely preventable . Currently complications and mortality rates of burns in children are high, especially in developing countries due to a lack of basic knowledge in the population, lack of an appropriate treatment methods and lack of modern technology . As in other developing countries, childhood burns in Egypt are still a significant problem. In Cairo, being one of the most populated cities in the...
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Salah Nasser, Amr Mabrouk, Ahmed M. Aboul Wafa Tags: Case Reports - e-only Source Type: journals

Reconstruction of postburn inguinal contractures using the pedicled anterolateral thigh flapEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
If they are not managed with proper treatment and rehabilitation, full thickness burns involving the inguinal region may result in contractures. They cause severe static and dynamic problems such as restricted range of motion, postural imbalance, and walking disturbance. Radical excision of all contracting bands and scar tissue is crucial for treatment. Consequently, it creates a skin and soft tissue defect in inguinal region. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Fatih Uygur, Celalettin Sever, Yalcin Kulahci, Kaan Gideroğlu Tags: Case Reports - e-only Source Type: journals

Case report of halo orthosis in early prevention of neck burns contractureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Severe post-burn neck contracture can result in significant functional and psychological morbidity. Surgical correction continues to represent a challenge to the reconstructive surgeon and anaesthetist. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Jeremy Yarrow, Naiem Moiemen, Kate Whiting, Danni Winkler Tags: Case Reports - e-only Source Type: journals

Neutrophil-derived heparin binding protein—A mediator of increased vascular permeability after burns?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Increased vascular permeability and oedema formation constitute a major clinical challenge following burns. Several clinical studies show that leukocytes are systemically activated following burns. Neutrophils have the capability to increase vascular permeability via mechanisms thought to involve the release of heparin binding protein (HBP). We hypothesised that HBP is elevated in plasma after major burns due to a systemic inflammatory response and investigated plasma–HBP concentrations in 10 severely burned patients daily for 1 week following the burn. Five-fold higher levels in plasma–HBP concentration comp...
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Joakim Johansson, Lennart Lindbom, Heiko Herwald, Folke Sjöberg Tags: Articles Source Type: journals

Gastric and small bowel ileus after severe burn in rats: The effect of cyclooxygenase-2 inhibitorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Gastrointestinal (GI) ileus is a common complication after severe burns. Selective cyclooxygenase-2 inhibitors (COX-2i) improved post-operative ileus, but its effect on burn-induced GI dysmotility is unknown. Our aim was to test whether a COX-2i improves gastric emptying (GE) and small bowel transit (SBT) after burn. Experiment on GE: rats were anesthetized and randomized into sham/scald burn, treated/untreated with COX-2i. Six hours after burn, rats received a phenol red meal and were sacrificed 30min later. Gastric emptying was determined based on the percentage of phenol red recovered in harvested stomachs. Ex...
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Hermes M. Oliveira, Hanaa S. Sallam, Jonathan Espana-Tenorio, David Chinkes, Dai H. Chung, Jiande D.Z. Chen, David N. Herndon Tags: Articles Source Type: journals

Effect of sphingosine 1-phosphate on morphological and functional responses in endothelia and venules after scalding injuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Our results indicate that S1P plays a role in maintaining basal vascular barrier function and could be protective in burn injury by enhancing the endothelial barrier function. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Xianglan Liu, Wei Wu, Qiang Li, Xuliang Huang, Bo Chen, Jing Du, Keseng Zhao, Qiaobing Huang Tags: Articles Source Type: journals

Enhancement effect of terpenes on silver sulphadiazine permeation through third-degree burn escharEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Antimicrobial therapy remains one of the most important methods of wound management. Systemically administered antimicrobials may not achieve therapeutic levels in wound and most agents cannot penetrate burn eschar well enough when applied topically. Therefore, we tested the notion to increase permeability of eschar toward topical agents using terpenes, a well-known class of skin permeation enhancers.Four terpenes, limonene (hydrocarbon), eucalyptol (ether), α-pinene oxide (epoxide) and geraniol (alcohol) were chosen and their effects on permeation of silver sulphadiazine (SSD), a widely used topical antimicrobi...
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Hamid R. Moghimi, Behzad S. Makhmalzadeh, Ali Manafi Tags: Articles Source Type: journals

Establishment of soft-tissue-injury model of high-voltage electrical burn and observation of its pathological changesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: A realistic model is very useful in laying the foundation for clinical treatment and further study of high-voltage electrical burns. We therefore established a soft-tissue-injury model of high-voltage electrical burn in rabbits using the highest voltage alternating current reported. Twenty-five healthy big-ear white rabbits were randomly divided into five groups (five in each group): control group (C group) before injury and 0.5-h, 24-h, 48-h and 72-h groups after injury. Except for the control group, the rabbits in the other four groups were anaesthetised with ketamine and the electrodes were placed in their lef...
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Chai Jia-ke, Li Li-gen, Gao Quan-wen, Shen Xiao-peng, Zhang Hai-jun, Sheng Zhi-yong, Wang Zhi-qiang, Zhang Cai Tags: Articles Source Type: journals

Cologne burn centre experience with assault burn injuriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Objective: To evaluate demographic and socioeconomic factors associated with assault burn injuries.Background: Assault by burning demonstrates a rare but severe public health issue and accounts for unique injury characteristics in the burn intensive care unit (BICU).Methods: We conducted a retrospective cohort study involving patients with thermal injuries admitted to the BICU of a university hospital. The patient cohort was divided into two groups (ABI group: patients with assault burns, n=41; Control group: population of all other burned patients admitted to the BICU, n=1202). Bivariate and multivariate analyse...
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: P. Theodorou, T.A. Spanholtz, P. Amini, C.A. Maurer, T.Q.V. Phan, W. Perbix, R. Lefering, G. Spilker Tags: Articles Source Type: journals

Epidemiology of paediatric burn injuries in Hamadan, IranEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was performed to analyse the epidemiology and aetiology of paediatric burns in Hamadan province in the west part of Iran from March 2004 to March 2007. The incidence rate of child hospitalisation for burns was 33.4 per 100000 person-years. The median age was 3 years with 69% of the patients under 4 years. The male-to-female ratio of incidence rate for all age groups was 1.52. Scald was the leading cause in almost all age groups and caused 266 (71.7%) burns. Correlation analysis showed that younger children are more vulnerable to scald injury. The mean body surface area (BSA) of burns was 16.36 (SD=11.42) in all ...
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Saadat Torabian, Mohammad Sadegh Saba Tags: Articles Source Type: journals

The epidemiology of patients with burn injuries admitted to Norwegian hospitals in 2007Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Compared to similar data from Norway (1992) the rate of admission for burns in 2007 (15.5/100,000/year) appeared as high as in 1992, whereas the mean length of stay was reduced by 26%. Children under the age of 5 had a seven times higher incidence compared the rest of the population. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Henning Onarheim, Svein Arthur Jensen, Bjørn Erik Rosenberg, Anne Berit Guttormsen Tags: Articles Source Type: journals

A small-area population analysis of socioeconomic status and incidence of severe burn/fire-related injury in British Columbia, CanadaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Socioeconomic determinants of injury have been associated with risk of burn in the UK and USA, but the relative significance of this impact is largely unknown across Canadian populations. The purpose of this study is to determine the extent to which socioeconomic status (SES) is linked to risk of burn in the province of British Columbia (BC) and identify the extent to which these findings are generalizable across both urban and rural population groups. Measures of SES were based on province-wide comparisons using data obtained from the Canada Census using the Vancouver Area Neighbourhood Deprivation Index (VANDIX...
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Nathaniel J. Bell, Nadine Schuurman, S. Morad Hameed Tags: Articles Source Type: journals

The epidemiology of burn injuries in an Australian setting, 2000–2006Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: ED presentations and hospital admissions and deaths have remained the same over this study period, but rates of burn remain high in males, children and the elderly. This could be due to variations in the implementation of government prevention and control programs and the divergence in efficient treatments and clinical practices amongst hospital care providers. Therefore, educational efforts for prevention should be the keystone to minimise the incidence of burns. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Jason Wasiak, Anneliese Spinks, Karen Ashby, Angela Clapperton, Heather Cleland, Belinda Gabbe Tags: Articles Source Type: journals

Fluid resuscitation for major burn patients with the TMMU protocolEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: This study indicates that the TMMU protocol for fluid resuscitation is a feasible option for burn patients. Individualised resuscitation – guided by the physiological response to fluid administration – is still important as in other protocols. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Gaoxing Luo, Yizhi Peng, Zhiqiang Yuan, Wenguang Cheng, Jun Wu, Jin Tang, Yuesheng Huang, Mark Fitzgerald Tags: Articles Source Type: journals

Twenty-five year epidemiology of invasive methicillin-resistant Staphylococcus aureus (MRSA) isolates recovered at a burn centerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study we, evaluate the changes in PFT and antimicrobial resistance epidemiology of invasive MRSA isolates over 25 years at a single burn unit. Isolates were tested by pulsed-field gel electrophoresis (PFGE), broth microdilution antimicrobial susceptibility testing, and PCR for the virulence factors Panton–Valentine leukocidin (PVL) and arginine catabolic mobile element (ACME), and the resistance marker staphylococcal chromosomal cassette mec (SCCmec). Forty isolates were screened, revealing stable vancomycin susceptibility MIC without changes over time but decreasing susceptibility to clindamycin and ciprofloxaci...
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Clinton K. Murray, Robert L. Holmes, Michael W. Ellis, Katrin Mende, Steven E. Wolf, Linda K. McDougal, Charles H. Guymon, Duane R. Hospenthal Tags: Articles Source Type: journals

Risk factors for acquisition of Methicillin-resistant Staphylococcus aureus among patients from a burn unit in BrazilEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, the acquisition of MRSA was related to the site of the burn and to the surgical manipulation of tissues, but not to the use of antimicrobials. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Taylor Endrigo Toscano Olivo, Edson Carvalho de Melo, Cristiane Rocha, Carlos Magno C.B. Fortaleza Tags: Articles Source Type: journals

Comparison of efficacy of silicone gel, silicone gel sheeting, and topical onion extract including heparin and allantoin for the treatment of postburn hypertrophic scarsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: We compared the efficacy of silicone gel (Scarfade®), silicone gel sheet (Epi-Derm™), and topical onion extract including heparin and allantoin (Contractubex®) for the treatment of hypertrophic scars.Forty-five postburn scars were included in the study. Patients with scars less than 6 months from injury were assigned at random to three groups each containing 15 scars, and their treatment was continued for 6 months. Scars were treated with Scarfade®, Epiderm™ and Contractubex®. Scar assessment was performed at the beginning of the treatment, and at the end of the sixth month when the treatment was complete...
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Huseyin Karagoz, Fuat Yuksel, Ersin Ulkur, Rahmi Evinc Tags: Articles Source Type: journals

Does “off-hours” admission affect burn patient outcome?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Contrary to studies in other critically ill patient populations, off-hours admission is not predictive of worse outcomes in burn patients. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Breena R. Taira, Hongdao Meng, Melody S. Goodman, Adam J. Singer Tags: Articles Source Type: journals

Assessing the impact of missing data in evaluating the recovery of minor burn patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Minor burn patients with upper limb involvement recover well and intensive review of these patients is unnecessary. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Vidya Finlay, Krischelle Burke, Claire van de Ruit, Ramona Lapuz, Michael Phillips, Fiona Wood, Dale Edgar Tags: Articles Source Type: journals

Assessing the safety and compatibility of silver based wound dressings in a magnetic resonance environmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Our data suggests silver containing wound dressings do not cause a significant increase in dressing temperature or image distortion and thus their removal is not warranted for clinical MRI examinations. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Zaid Chaudhry, Steffen Sammet, Rebecca Coffey, Andrew Crockett, William T.C. Yuh, Sidney Miller Tags: Articles Source Type: journals

Burn treatment in the elderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: The population of elderly patients is expected to rise continuously over the next decades due to global demographic changes.The elderly seem to be most vulnerable to burns and their management remains undoubtedly a challenge. A clear age margin for elderly patients is not yet defined, but most studies adhere to the inclusion of patients 65 years and above, but the general condition and social situation must be taken into account. The understanding of the physiological basis of aging and its related pathophysiological changes has only marginally influenced treatment and decision making in elderly burn patients.Whe...
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: M. Keck, D.B. Lumenta, H. Andel, L.P. Kamolz, M. Frey Tags: Reviews Source Type: journals

The year in burns 2008Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews those with the most impact on burn treatment according to the Editor of one of the major journals (Burns). As in the previous year's review, articles were divided into the following topic areas: epidemiology, wound characterisation, critical care physiology, inhalation injury, infection, metabolism and nutrition, psychological considerations, pain management, rehabilitation, and burn reconstruction. Each selected article is mentioned briefly with editorial comment. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Authors: Steven E. Wolf Tags: Reviews Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - November 6, 2009 Category: Cosmetic Surgery Source Type: journals

Response to: A simple method to facilitate full-thickness skin graft harvest [Burns 35 (1) (2009) 87–88]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I read with interest the comments of Dr. Ogawa and Dr. Chin on my article about full thickness skin graft harvest. I agree with them regarding the risk of epidermal inclusion cyst, but this is surprisingly rare not only with this described method of skin harvesting, but also with all other types of surgical procedures involving the skin . The authors also mentioned that some dermal tissues were left behind in the graft bed, but I think this is merely parts of the superficial fascia. Anyhow, a histological study may be necessary to verify whether this is dermis or fascia, and also whether the harvested skin is a full thickn...
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: Mohamad Taifour Suliman Tags: Letters to the Editor Source Type: journals

A simple method to facilitate full-thickness skin graft harvestEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I would like to comment on the recent article by Suliman entitled, “A simple method to facilitate full-thickness skin graft harvest” . He proposes a method that makes harvesting a full thickness skin graft an easy task. Briefly, following marking of the graft outline, the skin is circumferentially incised. The free edge of the raised skin is then retracted to permit further separation under direct vision, and the graft is separated from its bed, starting from one of the angles. Suliman concludes that this technique of harvesting results in a fat-free graft with negligible blood loss in the donor site. (Source: Burns : ...
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: Rei Ogawa, Michael S. Chin Tags: Letters to the Editor Source Type: journals

Does tissue expansion increase skin susceptibility to thermal injury? A physical modelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We thank Kwok-Kwan Chan and Yap for their further elucidation about the pathogenesis of thermal injury due to skin desensitisation. This phenomenon is a rare complication that can occur after every demolitive or reconstructive operation, even if it has been described more frequently after breast reconstruction . Its pathogenesis seems to be quite different according to the different forms of breast reconstruction. In autologous breast reconstruction, sensory and autonomic nerve section, with interruption of afferent and efferent neural pathways controlling thermoregulation, is the basic etiologic factor. (Source: Burns : J...
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: Sergio Delfino, Beniamino Brunetti, Vito Toto, Paolo Persichetti Tags: Letters to the Editor Source Type: journals

Re: Incidence of systemic fungal infection and related mortality following severe burnsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We appreciate the comments and questions by Piette et al. with regard to our assessment of fungal infections in burn patients as determined by autopsy . As stated by Piette et al., autopsies are rare in the medical community making our 43% autopsy rate a true strength of this cohort for analyzing attributable causes of death. With regard to possible selection or referral bias for patients who underwent an autopsy, autopsies are offered and strongly encouraged for every patient that dies at our burn unit by the entire healthcare team including the nursing staff along with the senior surgeons. Therefore there is minimal refe...
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: Clinton K. Murray, Florence L. Loo, Duane R. Hospenthal, Leopoldo C. Cancio, John A. Jones, Seung H. Kim, John B. Holcomb, Charles E. Wade, Steven E. Wolf Tags: Letters to the Editor Source Type: journals

Incidence and mortality of systemic fungal infection in burned patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We read with great interest the article on the incidence of systemic fungal infection and related mortality following severe burns . Autopsies are rarely performed these days , so data on the presence of fungal elements in a large autopsy series in burn patients are of substantial scientific value. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: A. Piette, S. Blot, K. Vandewoude, D. Vogelaers Tags: Letters to the Editor Source Type: journals

The anatomical basis of desensitisation in breast reconstruction: Comment on ‘Burn after breast reconstruction’ by Delfino S., et al. [Burns 34 (2008) 873–877]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We congratulate Delfino et al. on their succinct review of burns after different types of breast reconstruction . This highlights an often underrated complication in breast reconstructive surgery, namely desensitisation of the breast skin. They noticed that burns were confined to the surface of the transposed flaps or expanded mastectomy flaps and not the native non-flap skin, suggesting a pathological susceptibility to thermal injury of the flap skin. For each reconstructive technique, they posed hypotheses for the pathogenesis of this phenomenon. While there are deficiencies in both the afferent and efferent loops of the...
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: James K-K. Chan, Lok H. Yap Tags: Letters to the Editor Source Type: journals

Epithelial bridge: A cosmetic problem associated with early excision and grafting of burned hands, that indicates burn depth misdiagnosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Successful management of the burned hand is of paramount importance. Because of the high mobility and importance of their functions, excising and grafting of hands present a unique challenge . (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: Ali Akbar Mohammadi, Ali Reza Bakhshaeekia Tags: Letters to the Editor Source Type: journals

Iatrogenic burnsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Lately, we became aware of a letter to the editor commenting on our manuscript entitled “Congenital burns?” in the journal Burns. The comment made by Mr. Kanchan is not critical of the suggestion made by us, but instead seeks to provide another term ‘iatrogenic congenital burns’, which we believe is a tautology. As already emphasized, case reports of rarity certainly serve as a valuable knowledge bank to the clinical fraternity and help the practicing clinicians in the management of similar rare clinical cases encountered during their medical practice . There is no denying the fact that the case report published by...
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: P.P. Jagadish Rao, Ritesh G. Menezes Tags: Letters to the Editor Source Type: journals

An interesting reason for expander failure: Leakage from the base of the portEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Tissue expansion has broad utility in reconstructive surgery. It is a highly useful and successful procedure which allows for reconstruction even with minimal tissue in almost any part of the body and produces excellent results. It permits the surgeon to cover existing defects with skin from neighbouring areas which matches perfectly in colour, texture and adnexal structure (such as hair). In the 1980s, tissue-expansion complication rates were estimated at 30–50%, but since then they have fallen to 5–6% . This dramatic drop has been largely due to increased surgical experience. (Source: Burns : Journal of the Internati...
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: Nesrin Tan Baser, Unzile Balci Akbuga, Hikmet Karayel, Gurcan Aslan Tags: Letters to the Editor Source Type: journals

A three-dimensional virtual reality model for limb reconstruction in burned patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Electrical burns are a common cause of injuries. Despite many developments in the treatment of high-tension electrical burns, this type of injury still shows high-morbidity rates. Recently, the use of free flaps for reconstruction in burned patients has increased due to advances in the field of microvascular free tissue transplantation . Free flaps have reached a high level of sophistication. For instance, re-expanded flaps, composite tissue flaps, fascial flaps, multiple autologous flap transplantations and combined flaps (“chimeric flaps”) based on a single vascular pedicle have been performed in patients with severe...
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: P. Gacto, F. Barrera, D. Sicilia-Castro, F. Miralles, M. Collell, S. Leal, J. De La Higuera, C. Parra, T. Gómez-Cía Tags: Case Reports Source Type: journals

Parsonage–Turner Syndrome in a major burns patientEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The patient concerned was a 36-year-old right-handed male who suffered 35% total body surface area burns (10% full thickness) post-self-immolation, affecting his face, anterior neck and torso, bilateral arms and left leg. He had no significant past medical history apart from depression and there was no history of alcohol dependence. He was admitted for a total of 42 days and spent 13 days in the intensive care unit, intubated and ventilated for 12 of these. On admission, he was significantly hypothermic and acidotic. Escharotomies of bilateral forearms and left thigh were performed within 21/2h of admission (). Debridement...
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: Guy Watts, Sian Falder, Suzanne Rea, Peter Silbert, Fiona Wood Tags: Case Reports Source Type: journals

Domestic automated air fresheners: A significant burns risk to smokersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of a female smoker sustaining burns to her forehead and scalp due to the ignition of the spray from one of these units. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: Simon Hawkins, Judith Hunter, Peter Drew Tags: Case Reports Source Type: journals

Restoration of the shape, location and skin of the severe burn-damaged breastEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Thermal injuries to the anterior chest in pre-pubescent girls result in breast contracture. During puberty, the breast parenchyma develops and grows underneath the scars, resulting in being flattened and disfigured. The breast mound, as well as the nipple–areolar complex, is partially or completely levelled out and displaced. The contours are unclear and the inframammary fold is effaced. This feature of the most severe breast contracture still poses a challenge for most surgeons. This type of breast contracture can be successfully eliminated with the author-suggested, improved free-skin grafting technique. The ...
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: Viktor M. Grishkevich Tags: Articles Source Type: journals

Antimicrobial susceptibility and ESBL prevalence in Pseudomonas aeruginosa isolated from burn patients in the North West of PakistanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study reveals that P. aeruginosa isolated from burns in this region are multidrug resistant and produce ESBL in large proportions. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: Farhat Ullah, Salman Akbar Malik, Jawad Ahmed Tags: Articles Source Type: journals

Electrical burns: A retrospective analysis across a 5-year periodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aims to review the experience, at an institution, with patients who suffered electrical burns and study the peculiar characteristics of this type of burn as well as its complications and epidemiological aspects. The study includes medical records of patients with electrical burns who were admitted to the Burn Unit of Hospital das Clínicas in São Paulo, Brazil, from November 2001 to October 2006. They were classified into four categories: high voltage (≥1000V), low voltage ( (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: D.P. Luz, L.S. Millan, M.S. Alessi, W.F. Uguetto, A. Paggiaro, D.S. Gomez, M.C. Ferreira Tags: Articles Source Type: journals

Evaluation of mortality following severe burns injury in Hungary: External validation of a prediction model developed on Belgian burn dataEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Overall burn mortality in Hungary was low. The mortality prediction model demonstrated a high discriminative value. As such, this model is a helpful tool for outcome prediction and risk stratification for research purposes in burn patients. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: N. Brusselaers, I. Juhász, I. Erdei, S. Monstrey, S. Blot Tags: Articles Source Type: journals

The spectrum and outcome of burns at a regional hospital in South AfricaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Young children and epileptics are particularly vulnerable to sustaining burns. Our hospital sees a large number of burns predominantly involving smaller surface areas. Patients with small burns have a prolonged hospital stay and delayed grafting due to a conservative surgical approach and lack of resources. Large burns are fatal in our hands. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: N.L. Allorto, G.V. Oosthuizen, D.L. Clarke, D.J. Muckart Tags: Articles Source Type: journals

A randomised controlled trial of amniotic membrane in the treatment of a standardised burn injury in the merino lambEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study provides the first laboratory evidence that AM may reduce scar formation after burn injury. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: John F. Fraser, Leila Cuttle, Margit Kempf, Gael E. Phillips, Mark T. Hayes, Roy M. Kimble Tags: Articles Source Type: journals

Boundary element method with bioheat equation for skin burn injuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, a model of the human skin is developed where the steady state temperature during burns is simulated using the boundary element method (BEM). The BEM is used since it requires boundary only discretion and thus, reduces the requirement of high computer memory. The skin is modeled as three layered in axisymmetric coordinates. The three layers are the epidermis (uppermost), dermis (middle) and subcutaneous fat. Burning is applied via a heating disk which is assumed to be at constant temperature. The results predicted by the BEM model showed very good agreement with the results obtained using the finite element m...
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: E.Y.K. Ng, H.M. Tan, E.H. Ooi Tags: Articles Source Type: journals

Easy come, easy go: A simple and effective orthodontic enamel anchor for endotracheal tube stabilization in a child with extensive facial burnsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a simple method of securing an endotracheal tube using two orthodontic brackets bonded to the maxillary central incisor teeth and a 0.08″ stainless steel ligature wire. Our technique is less traumatic, and is easier to maintain oral hygiene than with previously described methods. This anchorage system takes 5min to apply and can be removed on the ward without the need for a general anaesthetic. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - September 22, 2009 Category: Cosmetic Surgery Authors: Shinichiro Sakata, Kerrod B. Hallett, Matthew S. Brandon, Craig A. McBride Tags: Articles Source Type: journals