Indeterminate-Depth Burn Injury-Exploring the Uncertainty

被引:37
作者
Karim, Aos S. [1 ]
Shaum, Katherine [1 ]
Gibson, Angela L. F. [1 ]
机构
[1] Univ Wisconsin, Sch Med & Publ Hlth, Dept Surg, G5-339 CSC,600 Highland Ave, Madison, WI 53792 USA
关键词
Burn depth; Skin substitutes; Depth determination; Scarring; Indeterminate-depth burn; DEEP PARTIAL THICKNESS; I/II CLINICAL-EVALUATION; ENZYMATIC DEBRIDEMENT; SKIN SUBSTITUTES; EARLY EXCISION; HISTOLOGICAL ASSESSMENT; STEM-CELLS; WOUNDS; MANAGEMENT; HYDROSURGERY;
D O I
10.1016/j.jss.2019.07.063
中图分类号
R61 [外科手术学];
学科分类号
摘要
In the management of indeterminate-depth burns (IDB), common challenges include the ability to predict time to healing and regenerative potential, risk of burn wound progression, and timing of excision. Several technologies exist to aid in determination of the depth of a burn injury, yet surgeons continue to rely on the naked eye-visual assessment-as the standard of care. Newer and improved imaging technologies are closing in on the goal of inexpensive, accurate, noninvasive modalities for depth determination. Likewise, management of IDB is becoming more sophisticated as newer wound healing technologies continue to be developed. By describing what is meant by "indeterminate" depth burns, and their associated challenges, we hope to stimulate interest in research to develop new therapies and management strategies. The ultimate goal is to treat IDB without the need for autografts. (C) 2019 Elsevier Inc. All rights reserved.
引用
收藏
页码:183 / 197
页数:15
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