Burn Scar and Contracture Management

Full thickness facial burns: Outcomes following orofacial rehabilitation

“…This appears longer than other studies previously published [3][4][5]7,[25][26][27] however these studies do not clearly define that the scar tissue had stabilised at the point of treatment cessation and the focus appeared to be more on time required to achieve maximal gain. It is well accepted that scar maturation can take between 18 months and 3 years to fully establish, particularly in the presence of contracture release or reconstruction, so it not unreasonable that contracture management would also require a similar period of time to achieve functional goals [30][31][32]. Additionally, individual characteristics including age, gender, skin pigmentation, burn depth and presence of comorbidities are known to affect burn wound healing time [33][34][35].…”

Human-derived acellular matrices for dermal replacement

“…Epidermal and superficial dermal wounds typically heal within a couple of weeks without hypertrophic scarring and contracture (Chapman, 2007). However, when the size, depth, or biochemical environment is such that the wound is precluded from healing naturally, medical intervention is necessary.…”

The experience of wearing compression garments post-burn injury: a qualitative study of patient perspectives and recommendations for practice

“…The RCT measured adherence as an outcome to assess the effect of a multimedia education learning package. 17 In each study, different methods were used to assess adherence and explore patient experiences of wearing compression garments. Only three of the studies included a specific adherence rate.…”

“…The RCT was the only study which utilised standardised measures to evaluate the effect of an educational program. 17 The outcome measures used in the RCT 17 included the Knowledge of Burn Rehabilitation Scale (KBRS), the Anxiety Perception Score (APS) and the Pressure Garment Compliance Behavioural Scale (PGCBS). Only one of the included studies used outcome measures over time at two intervals -pre and post intervention -to assess garment education, anxiety and adherence.…”

“…Only one of the included studies used outcome measures over time at two intervals -pre and post intervention -to assess garment education, anxiety and adherence. 17 The remaining studies did not utilise a longitudinal design and therefore assessed adherence at one time point.…”