Scand J Plast Recons
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Scand J Plast Recons · Jan 1987
HydroColloid dressing (Duoderm) for the treatment of superficial and deep partial thickness burns.
HydroColloid Dressing (Duoderm, HCD) is a new kind of dressing, based on the fact that occlusion can provide an optimum wound environment for quick re-epithelialization. Seventy patients with superficial and deep partial thickness burns of up to 7% TBSA were treated with HCD. In 16 patients a second burned area, similar in size and depth of the burn treated with HCD, was treated with human allografts or silversulfadiazine (SSD). ⋯ The cosmetic and functional results were excellent. After six months only one patient was found to have a small area of hypertrophy. In this study HCD was found to be a very good dressing for the treatment of smaller partial thickness burns.
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Over a five-year period selected patients with acute facial burns have been treated with early excision and skin grafting. Guidelines on the experience gained are outlined. On admission a tentative diagnosis of the depth of the burn was made and saline dressings were applied. ⋯ Deep dermal and subdermal burns of the face in patients without potentially fatal injuries were tangentially excised (or were subjected to dermabrasion) and covered with skin grafts within the first three days. Deep dermal and subdermal burns combined with potentially fatal injuries were treated conservatively. Early excision and skin grafting performed under optimum conditions give excellent functional and good aesthetic results.
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Scand J Plast Recons · Jan 1987
Fixation of skin transplants in burns with SurfaSoft and staples. An analysis of the results.
The use of SurfaSoft and staples enables a rapid and adequate fixation of (meshed) skin grafts, even when large wounds and anatomically difficult areas are involved. The smooth, porous and transparent structure of SurfaSoft makes frequent inspection of the transplanted skin possible and allows dressing changes to be carried out from the first day after operation onwards. ⋯ A mean take rate of 96% can be achieved when expanded autograft and specially prepared allografts are used together for covering large wound areas. Transplantation of meshed skin on a granulating wound surface results in a mean take rate of 82%.
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From September 1980 to April 1985 143 cases were monitored by means of a battery of psychodiagnostic tests and questionnaires. We introduced the scoring of 4 behaviour 'clusters' on a five-point scale expressing different behaviour levels. ⋯ Research into the psyche of patients with disfigurement of a visible part of the body has shown that it causes the disintegration of the body schema and alters the burned individual's self-representation. The 'disfigured face syndrome' is compared with the 'character neurosis' in burn patients.