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Journal of Global Medical Education and Research

Volume  5, Issue 2, July - December 2022, Pages 45-47
 

Original Article

Role of Tangential Excision and Skin Grafting in Scald Burns

Gnaneshvar Manivannan1, Neljo Thomas2, Ravi Kumar Chittoria3

1Junior Resident, Department of General Surgery, 2Senior Resident, Department of Plastic Surgery, 3Professor & Head of IT Wing and Telemedicine, Department of Plastic Surgery & Telemedicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, India

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Abstract

Scald burns are one of the most common types of burn injuries  worldwide. Scalds are a form of thermal burns resulting from contact of the skin with moist heat or heated fluids such as boiling water or steam. Usually, in scald burns, the epidermis or a part of the dermis is mostly affected. Hence most scalds are considered first or second degree burns. The primary aim of the management of burns is to ensure adequate wound coverage. While wound irrigation, debridement, and local wound care may be sufficient for managing superficial burns (involving the epidermis and superficial dermal layer), deep burns (involving the deep dermal layer and other structures deeper to it) require tangential excision and skin grafting. If performed early it is associated with better outcomes in terms of reduced infection risk and hastened wound healing.

In this article, we see how tangential excision and skin grafting improved the clinical outcome in a 42 year old female who presented with scald burns involving both her lower limbs, comprising about 30% of the body surface.


Keywords : Tangential excision; Scalds; Skin grafting
Corresponding Author : Ravi Kumar Chittoria