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Published on: February 23, 2024
Diverse Treatments for Deep Burn Wounds: A Case Report
Ling Zhou1, Chunmei Liu, Yimei Luo
1At the State Key Laboratory of Trauma, Burn and Combined Injury, Institute of Burn Research, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China, Ling Zhou, MS, is a plastic surgeon; Chunmei Liu, MS, is a nurse; Yimei Luo, MS, is a nurse; Fei Xiang, MD, is a plastic surgeon; and Huapei Song, MD, is a plastic surgeon. Acknowledgments: This work was supported by the Project of Key Laboratory of Medical Protection for Electromagnetic Radiation, Ministry of Education (Grant No. 2017DCKF005) and the Technological Innovation Foundation of Chongqing (cstc2018jscx-msybX0112). The authors have disclosed no other financial relationships related to this article. Submitted May 4, 2020; accepted in revised form June 8, 2020.
Extensive deep burns require complex, multi-faceted treatment. This case highlights a successful, individualized approach combining various therapies for severe burn wound repair, saving the patient's life.
Area of Science:
- Regenerative Medicine
- Trauma Surgery
- Burn Care
Background:
- Extensive deep burns pose significant risks, including infection and organ dysfunction.
- Standard treatments are often insufficient for complex burn wounds.
- Effective wound repair is critical for patient survival.
Observation:
- A rare case of severe, multi-site burns from charcoal flame exposure following carbon monoxide poisoning.
- The patient presented with pneumothorax, acute renal failure, and multiple osteonecroses.
- A single treatment modality was insufficient for this complex case.
Findings:
- An individualized, multidisciplinary treatment plan was developed.
- The treatment regimen included chest drainage, renal replacement therapy, infection control, debridement, negative-pressure wound therapy, cellular/tissue products, dermal scaffold grafts, skin grafts, flap transposition, and platelet-rich plasma.
- All wounds healed, and the patient's life was saved.
Implications:
- Demonstrates the efficacy of a comprehensive, multimodal strategy for severe burn management.
- Highlights the importance of individualized treatment plans in complex trauma cases.
- Offers insights into advanced wound repair techniques for critical burn injuries.
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