The treatment effect of the burn wound healing by electrolyticreduction ion water lotion

A 2-year-and-4-month-old girl suffered a burn to the neck due to boiling water. She was examined at another hospital, and recommended to undergo dermatoplasty. Thirteen days after injury, she consulted our hospital. A wide skin defect was observed around the neck, and a third-degree burn was diagnosed. Conservative treatment using electrolyticreduction ion water (ERI) lotion, antibiotics/steroid combination ointment, and vitamin A/E ointment was performed without dermatoplasty. Treatment of the burn was started with the application of ERI lotion, antibiotics/steroid combination ointment, and vitamin A/E ointment to the wound 3 times a day combined with wrap therapy. The lysis of necrotic tissue and granulation began 1 week after the beginning of treatment. After 2 weeks, the necrosed skin had completely lysed, satisfactory granulation tissue began to form and blood supply improved. Regeneration of the skin was noted at 1-3 months after the beginning of treatment. Complete epithelialization was observed after 4 months, but hypertrophic cicatrization and pigmentation began to occur. After 26 months, capillary growth was observed, cicatrix became inconspicuous, pigmentation disappeared, and the burn almost completely healed. In conclusion, in this patient, the process of tissue repair after burn injury progressed smoothly, and healing was achieved without leaving hypertrophic cicatrix, keloid scar, or pigmentation. Our experience suggested that even third-degree burns can be treated using only external therapy with ERI lotion, antibiotics/steroid combination ointment, and vitamin A/E ointment without dermatoplasty.