3-D wound scanner: A novel, effective, reliable, and convenient tool for measuring scar area
The accurate evaluation of scars is important in the prevention and treatment of scars [1]. The main evaluation markers of scars include the color, depth, thickness, and regularity of the scar, the presence or absence of pain and itchiness, and the area of the scar [2]. The measurement of the scar area can accurately reflect the trends and degree of changes in contracture and hyperplasia during the formation and development of the scar and provides guidance for the prevention and treatment of scars [3]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 25, 2018 Category: Cosmetic Surgery Authors: Jian Jin, Haihang Li, Zhengli Chen, Jiajuan Sheng, Tong Liu, Bing Ma, Shihui Zhu, Zhaofan Xia Source Type: research

Ephrin-A2 affects wound healing and scarring in a murine model of excisional injury
Eph receptor/Ephrin ligand interactions are important in neuronal mapping and topography in central and peripheral nerves [1]. All the Eph receptors and Ephrin ligands are expressed in normal human skin [2] and Ephrin-A ligand signaling has been shown to be important in hair follicle cycling and epidermal differentiation [3 –5]. Ephrin A2 and A5 are critical for sensory axonal growth patterning and in the development of cutaneous innervation in animal models [4–7]. In addition, keratinocytes treated with human Fc-conjugated Ephrin-A ligands have been shown to suppress the expression of important cell adhesion genes suc...
Source: Burns : Journal of the International Society for Burn Injuries - October 25, 2018 Category: Cosmetic Surgery Authors: Dulharie Wijeratne, Jennifer Rodger, Andrew Stevenson, Hilary Wallace, Cecilia M. Pr êle, Fiona M. Wood, Mark W. Fear Source Type: research

Comparative evaluation of three methods of skin graft fixation for split thickness skin graft after release of post burn contracture of the neck
Burn is one of the most devastating conditions encountered in medicine.The pain and distress caused by a major burn injury are not limited to the immediate event. The visible physical and the invisible psychological scars are long lasting and often lead to chronic disability [1]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 25, 2018 Category: Cosmetic Surgery Authors: Chinmaya Chiranjibi Samal, Suvashis Dash, Karoon Agrawal, Raman Tandon Source Type: research

Sodium butyrate inhibits the production of HMGB1 and attenuates severe burn plus delayed resuscitation-induced intestine injury via the p38 signaling pathway
Prompt and adequate resuscitation has been documented to play a vital role in the outcome of severely burned patients [1]. However, in the rural areas, especially in the developing countries, the fluid resuscitation is frequently delayed due to the referral transportation and lack of burn knowledge. Inadequate or delayed fluid resuscitation leads to tissue hypoperfusion, which can result in early organ injury and failure [2]. Rapid infusion to replace loss of fluid within 2h is effective to maintain vital organ function and prevent progressive organ damage [3]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 25, 2018 Category: Cosmetic Surgery Authors: Sheng Liu, Hong-Ze Chen, Zheng-Dong Xu, Fei Wang, Haoshu Fang, Ophelia Bellanfante, Xu-Lin Chen Source Type: research

The influence of age on quality of life after upper body burn
In Spain, the number of aged persons is increasing. By the year 2066, it is expected that 34.6% of the Spanish population will be over 65 years of age. Elderly people present a higher burning risk owing in part to impaired balance and decreased physical strength, lower cognitive abilities, or socioeconomic context. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 24, 2018 Category: Cosmetic Surgery Authors: Eva Santacreu, Laura Grossi Garriga, Patricia L ópez, Silvia Lebrato, Maria Lluïsa Torrent-Bertran, Juan P. Barret Source Type: research

Frailty: an independent predictor of burns mortality following in-patient admission
In the context of an aging developed world population [1], burn care teams can expect to manage increasing numbers of frail elderly patients with complex medical and social needs [2,3]. It is widely accepted that elderly patients tend to have a higher mortality risk and poorer outcome than younger patients with similar burn injuries, particularly as burn size and depth increases [4 –11]. When caring for elderly patients, medical teams are not only faced with the clinical challenge of providing the highest standards of burn care in the context of multiple medical comorbidities but also face the ethical challenge of separa...
Source: Burns : Journal of the International Society for Burn Injuries - October 22, 2018 Category: Cosmetic Surgery Authors: Joseph Ward, Georgina Phillips, Ishan Radotra, Sarah Smailes, Peter Dziewulski, Jufen Zhang, Niall Martin Source Type: research

ISBI Practice Guidelines for Burn Care, Part 2
The International Society for Burn Injuries gratefully acknowledges the contributions of many individuals to the development of these guidelines. Membership of the Steering and Advisory Subcommittees are listed in Table 2. Additional contributions were made by Drs. Gerald Abesamisto (Burns Fellow, Melbourne, Australia), Sandeep Moola (The Joanna Briggs Institute), Edward Raby (Microbiologist and Infectious Diseases Consultant, Western Australia), and Peter J. Carr (AVATAR Group Menzies Health Institute) for the section on Indwelling Catheters; Leopold Cancio (Chemical Burns); and Karel Kapek (Metabolic Manipulation). (Sour...
Source: Burns : Journal of the International Society for Burn Injuries - October 18, 2018 Category: Cosmetic Surgery Authors: Tina Palmieri, ISBI Practice Guidelines Committee Source Type: research

Cultural adaptation of the 5-D itch scale and its reliability for Brazilian burn survivors
Burn-related injuries represent a severe trauma and its consequences affects the physical, psychological and social life of the survivors and their family. Caring for the skin and scars is essential for burn survivors, since this influences the healing process, scar quality, and functionality of the affected limbs. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 18, 2018 Category: Cosmetic Surgery Authors: Nat ália Gonçalves, Renata Bispo Rodrigues, Henrique Ceretta Oliveira, Flavio Nadruz Novaes, Lidia Aparecida Rossi, Roberta Cunha Matheus Rodrigues Source Type: research

Chronic burn wound treatment by Erbium: YAG fractional ablation: First described report and literature review
In the past, the largest concern of a severe, acute thermal injury was survival. With a current estimated survival rate of 96.8% of patients admitted to burn centers [1], burn survivors are now plagued with the lifelong consequences of burn scar morbidity. Treatments for hypertrophic scarring, specifically burn scar contracture, have been heavily explored in the literature; however, there is a paucity of studies exploring chronic wounds post thermal injury [2]. While treatments for these wounds range from debridement and wound care [3] to hyperbaric oxygen therapy [2], patients are often troubled with these wounds for inde...
Source: Burns : Journal of the International Society for Burn Injuries - October 17, 2018 Category: Cosmetic Surgery Authors: Tarik D. Madni, Karen Lu, Jonathan B. Imran, Audra T. Clark, John E. Hoopman, Jeffrey M. Kenkel, Herb A. Phelan Tags: Letter to the Editor Source Type: research

Another possible solution of overgranulation following skin autograft procedure
We read with great interest the article from authors Rode H, Rogers AD, Martinez R [1]. Authors describe the problem of overgranulation following Meek micrografting technique (when skin autografts were not covered by skin allografts), and also innovative solution of this problem by scraping the hypergranulations away under general anaesthesia and coverage of the wound surface with exposed micrograft islands devoided of hypergranulations with topical antiseptic dressing, which had led to subsequent epithelialisation. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 16, 2018 Category: Cosmetic Surgery Authors: Peter Bukovcan, Jan Koller Tags: Letter to the Editor Source Type: research

Intravenous maintenance fluids in resuscitation for thermal injuries in children
Thermal injuries in children require fluid resuscitation in a timely manner [1]. In addition to the fluid resuscitation calculated per the Parkland or Galveston formulae, children less than 30kg have maintenance requirements based on Holiday and Segar regimen or the body surface area [2]. Titration of resuscitation fluid after burns is based on urine output and hemodynamic end-points. The usual practice is to continue intravenous maintenance fluids without titration and reduce them on the commencement of enteral nutrition. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 16, 2018 Category: Cosmetic Surgery Authors: Harish Bangalore, Samiran Ray, Niall Martin Tags: Letter to the Editor Source Type: research

Comparison of efficacy and safety of intralesional triamcinolone and combination of triamcinolone with 5-fluorouracil in the treatment of keloids and hypertrophic scars: Randomised control trial
Keloids and hypertrophic scars are common benign disorder [1,2]. They result from burns, trauma, surgery, infections like acne and folliculitis [3]. These scars are mainly consist of abnormal deposits of collagen in the scar tissue and result in the significant clinical problem like pain, itching and a deformed look [1,4]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 16, 2018 Category: Cosmetic Surgery Authors: Farrukh Aslam Khalid, Muhammad Younas Mehrose, Muhammad Saleem, Muhammad Amin Yousaf, Abdul Malik Mujahid, Saif Ur Rehman, Sania Ahmad, Moazzam Nazeer Tarar Source Type: research

Optimization of an empiric vancomycin dosing algorithm for improved target concentration attainment in patients with thermal injury
Thermal injury invokes a hypermetabolic response in patients that affects many physiological processes, including drug metabolism [1,2]. Many studies have demonstrated the augmented dosing recommendations of several medications in patients with thermal injury, secondary to increased clearances (CL) and variable volumes of distribution (Vd) [3 –8]. Vancomycin pharmacokinetics have been demonstrated significantly different in patients with thermal versus non-thermal injuries and even that of others critically injured [9–12]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 16, 2018 Category: Cosmetic Surgery Authors: David M. Hill, Sai R. Velamuri, Julio Lanfranco, Ivan Romero Legro, Scott E. Sinclair, William L. Hickerson Source Type: research

Burn injury outcome differences in Native Americans
Native Americans (NAs) have a lower life expectancy than non-Native Americans (non-NAs) in the United States: 73.7years versus 78.2years respectively. Heart disease, malignant cancer, and chronic lower respiratory diseases are common causes of death in both Native and non-Native populations. However, NAs die at higher rates than non-NAs due to other causes such as liver disease and cirrhosis, diabetes mellitus and metabolic syndrome, unintentional injuries, assault/homicide, and intentional self-harm [1]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 15, 2018 Category: Cosmetic Surgery Authors: Jacob A. Swann, Marc R. Matthews, Curt Bay, Kevin N. Foster Source Type: research

Bold to do — bald to be? Outcomes decades after harvesting the scalp in burned children
The standard technique to cover full and deep partial thickness burn wounds is split thickness skin grafting (STSG). Grafts are typically harvested from the thigh and the back. The scalp has been first mentioned as a donor site in 1964 [1]. Since then, it has been described by numerous authors as an ideal donor site for the following reasons: low complication rate, easy handling during and after harvest, rapid healing and therefore eligibilty for multiple re-harvesting [2,3] with an interval as short as 8 –10days following the first harvest [3–8]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - October 15, 2018 Category: Cosmetic Surgery Authors: Kathrin Neuhaus, Clemens Schiestl, Rosmarie Adelsberger, Lisa Weibel, Martin Meuli, Sophie B öttcher-Haberzeth Source Type: research