Assessment of burn depth and burn wound healing potential

Monstrey, Stan; Hoeksema, Henk; Verbelen, Jozef; Pirayesh, Ali; Blondeel, Phillip

doi:10.1016/j.burns.2008.01.009

Cited by 362 publications

(281 citation statements)

References 83 publications

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“…Although some experts have suggested applying pressure within a range of 15 mm Hg-25 mmHg [16,23,24,26,29,30,[38][39][40], many experts have recommended wearing silica gel film inside the pressure garments (only at locations with hard or convex scars), but this type of silicon film can only be worn for 8-12 hours per day [6,12,14,41,42] because such items can lengthen scarring duration and can be allergenic. However, they still have a favourable effect.…”

Section: Prominentmentioning

confidence: 99%

“…Consequently, scars in most Asian patients require longer maturing [2,3]. Generally, wounds that do not heal within 2-3 weeks are considered most at risk for excessive scar formation [1,[4][5][6]. Asians are more likely to develop hypertrophic scars compared with Caucasians, and Africans are more likely to develop hypertrophic scars than Asians [5,7].…”

Section: Introductionmentioning

confidence: 99%

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Fitted Pressure Garment of Assessment of Scar Thickness on Third-Degree Burns through Ultrasonic Measurement

Huang¹,

Lu²,

Liu³

2017

J Cytol Histol

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The aim of this study was to assess the thickness of the scars on the left arm of a female third-degree burn patient through ultrasonic examination in order to investigate the use of 25-mm Hg pressure garments, which are a key treatment for burns. The patient was injured with third-degree burns more than 10 years ago. Sixteen scars were examined. The resulting Pearson correlation of the forearm and upper arm was 0.138 (weak correlation; R 2 =0.0191). Therefore, in this case, all data points fell on a straight line with a positive (upward) slope. This result indicated different thicknesses for the upper arm and forearm third-degree burn scars; this result displays different thickness for the upper arms and forearm the third degree burn scars; the scars did not spread evenly due to the loading capacity of different parts of body instead of the pressure by pressure garment.This paper provides accurate information to manufacturers, therapists, and tailors regarding measurements for pressure garments. The results suggest that burn scars should be subject to appropriate pressure on the basis of medium scar height to avoid increasing scars and to stabilise burns, validating the hypothesis that 25 mmHg is not the optimal pressure for female patients with third-degree burns on the left arm and that the optimal pressure should be based on the patient's burns and wound area. To our knowledge, this is the first study to correlate the thickness of third-degree burns through ultrasound scan.

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Section: Prominentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Fitted Pressure Garment of Assessment of Scar Thickness on Third-Degree Burns through Ultrasonic Measurement

Huang¹,

Lu²,

Liu³

2017

J Cytol Histol

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“…Additionally, disturbances of the fluid refractive index resulting from large temperature fluctuations have caused the incident laser beam to wander and defocus [100]. In spite of this, LDPI technology has been demonstrated and used in the assessment of a plethora of clinical situations; for instance, assessment of burn extent [14,15] and relative perfusion [41,101,102], post-operative malignant skin tumour assessment [103], and in the study of arthritis and joint inflammation [104].…”

Section: Laser Doppler Imagingmentioning

confidence: 99%

‘Go with the flow ’: A review of methods and advancements in blood flow imaging

Daly

Leahy

2012

Journal of Biophotonics

103

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Physics has delivered extraordinary developments in almost every facet of modern life. From the humble thermometer and stethoscope to X‐Ray, CT, MRI, ultrasound, PET and radiotherapy, our health has been transformed by these advances yielding both morphological and functional metrics. Recently high resolution label‐free imaging of the microcirculation at clinically relevant depths has become available in the research domain. In this paper, we present a comprehensive review on current imaging techniques, state‐of‐the‐art advancements and applications, and general perspectives on the prospects for these modalities in the clinical realm. (© 2013 WILEY‐VCH Verlag GmbH & Co. KGaA, Weinheim)

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“…Even though this method is immediate, easy and cost-effective [1], inaccurate prognoses are made in about a quarter of cases [2]. There is therefore a need for more reliable techniques for early prediction of the depth of a burn.…”

Section: Introductionmentioning

confidence: 99%

“…The perfusion of blood in a superficial scald is typically higher than the perfusion of the surrounding uninjured skin, while a deeper scald often has a degree of perfusion similar to, or less than that of uninjured skin [3,4]. The perfusion of a scald has therefore been used as a diagnostic marker during assessment of the depth, which is of particular interest in intermediate burns as they are difficult for even experienced surgeons to diagnose correctly at initial presentation [5].…”

Section: Introductionmentioning

confidence: 99%