Abstract
Burns are very devastating injuries to the skin and to the patient. The skin plays a key role in temperature and fluid regulation in the body and acts as a protective barrier against microorganisms. The anatomy of the skin can be divided into the epidermis, the outer layer of the skin; the dermis, collagen-containing elastic fibers, nerves, blood vessels, sweat glands, and hair follicles; and the subcutaneous tissue, fat-containing, larger blood vessels and nerves. The severity of burns depends on the depth of destruction, location, and the involved body surface area. Inadequate treatment of burns can lead to increased visible (physical) and invisible (psychological) scars. Adequate and correct management of severe burns requires a skilled multidisciplinary approach that addresses all the challenges of burned patients. This chapter provides an overview of the most important aspects of burns.
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References
Altintas AA, Amini P, Altintas MA, Perbix W, Phan V, Stasch T, Spilker G (2010) Histometric and histomorphologic comparison of combustion and ambustion using in vivo reflectance-confocal microscopy. Microsc Res Tech.73(2):160-164
Altintas MA, Altintas AA, Guggenheim M, Busch KH, Niederbichler AD, Aust MC, Vogt PM (2009 ) Is superficial burn caused by ultraviolet radiation (sunburn) comparable to superficial burn caused by heat – a histomorphological comparison by in vivo Reflectance-Mode-Confocal Microscopy. J Eur Acad Dermatol Venereol. 23(12):1389-1393
Smahel J (1985) Pathophysiology of the burn wound. Handchir Mikrochir Plast Chir 17(6):340–342
Shea SM, Caulfield JB, Burke JF (1973) Microvascular ultrastructure in thermal injury: a reconsideration of the role of mediators. Microvasc Res 5(1):87–96
Adams HA, Vogt PM (2009) Circulation therapy for severe burn injuries. Unfallchirurg 112(5):462–471
Baxter CR, Shires T (1968) Physiological response to crystalloid resuscitation of severe burns. Ann N Y Acad Sci 150(3):874–894
Feller I, Tholen D, Cornell RG (1980) Improvements in burn care, 1965 to 1979. JAMA 244(18):2074–2078
Monafo WW (1974) Tangential excision. Clin Plast Surg 1(4):591–601
Kim DE, Phillips TM, Jeng JC, Rizzo AG, Roth RT, Stanford JL, Jablonski KA, Jordan MH (2001) Microvascular assessment of burn depth conversion during varying resuscitation conditions. J Burn Care Rehabil 22(6):406–416
Srinivas SM, de Boer JF, Park H, Keikhanzadeh K, Huang HE, Zhang J, Jung WQ, Chen Z, Nelson JS (2004) Determination of burn depth by polarization-sensitive optical coherence tomography. J Biomed Opt 9(1):207–212
Deitch EA, Clothier J (1983) Burns in the elderly: an early surgical approach. J Trauma 23:891
Burke JF, Bondoc CC, Quinby WC (1974) Primary burn excision and immediate grafting: a method shortening illness. J Trauma 14(5):389–395
Altintas MA, Altintas AA, Knobloch K, Guggenheim M, Zweifel CJ, Vogt PM (2009) Differentiation of superficial-partial vs. deep-partial thickness burn Âinjuries in vivo by confocal-laser-scanning microscopy. Burns 35(1):80–86
Jaskille AD, Shupp JW, Jordan MH, Jeng JC (2009) Critical review of burn depth assessment techniques: part I. Historical review. J Burn Care Res 30(6):937–947
Phillips LG, Robson MC, Smith DJ, Phillips WA, Gracia WD, McHugh TP, Sullivan WG, Mathoney K, Swartz K, Meltzer T (1989) Uses and abuses of a biosynthetic dressing for partial skin thickness burns. Burns 15(4):254–256
Uhlig C, Rapp M, Hartmann B, Hierlemann H, Planck H, Dittel KK (2007) Suprathel-an innovative, resorbable skin substitute for the treatment of burn victims. Burns 33(2):221–229
Hartmann B, Ekkernkamp A, Johnen C, Gerlach JC, Belfekroun C, Kuntscher MV (2007) Sprayed cultured epithelial autografts for deep dermal burns of the face and neck. Ann Plast Surg 58(1):70–73
Haslik W, Kamolz LP, Manna F, Hladik M, Rath T, Frey M (2010) Management of full-thickness skin defects in the hand and wrist region: first long-term experiences with the dermal matrix Matriderm. J Plast Reconstr Aesthet Surg 63(2):360–364
Baux S (1961) Contribution a l’etude du traitement local des brulures thermiques entendues. These, Paris
Tobiasen J, Hiebert JH, Edlich RF (1982) Prediction of burn mortality. Surg Gynaecol Obstet 154(5):711–714
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Altintas, M.A., Vogt, P.M. (2014). Burn Injury. In: Oestern, HJ., Trentz, O., Uranues, S. (eds) General Trauma Care and Related Aspects. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-88124-7_13
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DOI: https://doi.org/10.1007/978-3-540-88124-7_13
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