Zeitschrift für Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft für Kinderchirurgie = Surgery in infancy and childhood
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The first chapter is dedicated to the frequency and the prognosis of burn trauma, and to the general management of the patient. The second part deals with the pathophysiological basis of the problem and with some controversial facts. The third chapter is a survey of inhalation injury and of electrical burns.
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Hypertrophic scars and contractures following 3rd degree burns originate in an excessive production of myofibroblasts from the granulation tissue. Early tangential excision and grafting helps in fighting the multiplication of these cells and hence some later complications. ⋯ Corrective surgery is accomplished by means of skin grafts or flaps. The authors' own methods are described for reconstructing destroyed organs such as scalp, eyebrows, eyelids, lips, chin, ears and nose.
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Comparative Study
[Comparative in vitro tests of silver sulphadiazine and zinc sulfadiazine swabs on burn patients].
The antibacterial effect of silver sulphadiazine is compared with that of zinc sulphadiazine in three in vitro tests with 14 different bacterial colonies. Our results demonstrate that silver sulphadiazine is more efficient than zinc sulphadiazine as an antibacterial agent. As the local application of zinc promotes and accelerates wound healing, we suggest to apply first silver sulphadiazine and then zinc sulphadiazine in combined local therapy of burn wounds.