Burn wound healing is a complex process including inflammation, epithelialization, granulation, neovascularization, and wound contraction. Modern therapies present a large number of options, while traditional therapies are promising effective choices. Plant-based products have been used in the treatment of wounds for centuries worldwide. Recently, the mechanisms behind many of these traditional therapies could be explained in detail. The most commonly found mechanisms behind the herbal source products supporting wound healing are mostly their antioxidant, anti-inflammatory, antimicrobial, cell proliferative, and angiogenic effects. However there is not much more studies demonstrated in patients except Aloe vera and Avena sp., herbal treatment still show a lot of promise in the future. It is important not to ignore possible toxic and allergic effects of plants and phytochemical agents, but the studies mostly resulted with antitoxic effects. Several herbs show efficient results with therapies of wounds also in burn wounds, which may be considered as an option for treatment. On the other hand, herbal treatment in burn wounds still needs to have more clinical and pharmaceutical studies to place in modern therapies safely.
The relationship between a burns patient and a reconstructive surgeon is normally long lasting and continues lifelong. Patients not only require a surgeon's professional expertise, but also time, optimism and compassion. Scar management relates to the physical and aesthetic components as well as the psychosocial implications of scarring. Hypertrophic scar formation which can cause debilitating deficiencies and poor aesthetic outcomes might be a result of burn injuries. Although nonsurgical treatment modalities in the early phase of scar maturation are critical to decrease hypertrophic scar formation, surgical management is often indicated to restore function. Operative scar management releases the tension and can often be achieved through local tissue arrangement.
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