Başkent Üniversitesi Yayınları

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    Our Experiences in Using a Dermal Substitute in Deep Burns of Various Etiologies
    (Başkent Üniversitesi, 2023-06) Nesrin Tan Başer; Esat Tevfik Çetin; Miray Kalınbaçoğlu; Hatice Gizem Ceylan; Halil Taha Saraç
    ABSTRACT OBJECTIVES: The gold standard treatment of burn injury involves early excision of the burned area and reconstruction using split-thickness skin grafts. Alternative methods can be used when traditional skin grafting may not be viable or donor skin is limited. We aimed to review the use and outcomes of dermal substitute combined with split-thickness skin graft for deep partial thickness burn wounds and full thickness burn wounds. MATERIALS AND METHODS: We included 10 patients (9 males and 1 female; age range, 8-69 years with mean age of 34.5) who were treated in Gulhane Training and research hospital burn center between February 2023 and September 2023. Our protocol relied on clinical assessments, wound examinations, tissue cultures, and photographic documentation. RESULTS: The burn area was generally located on the extremities. In 8 cases, bone, tendon, or cartilage were exposed. The percentage of total body surface area ranged from 1% to 18% (mean 5.5%). Four patients presented during the chronic period (21 days or more). CONCLUSIONS: The use of dermal skin substitutes combined with split-thickness skin graft offers a promising alternative for deep burn wounds independent of patient age, burn etiology, or timing of the treatment.
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    Outpatient Management of Pediatric Burns in Chile
    (Başkent Üniversitesi, 2023-02) María Dora Espinosa González; Orlando Flores
    ABSTRACT Most burn injuries can be treated on an outpatient basis. However, data on burn injuries treated at outpatient centers are largely omitted from the burn literature. Patients suitable for pediatric outpatient burn care are mostly children younger than 5 years old at the time of the injury, with the hand as the prevalent burn location and total body surface area of <1%. The main causal agent in this population are scalds and hot objects, and patients have an average healing time of 13 days. The hospitalization rate varies from 1% to 6%. The success of ambulatory care depends on careful patient selection. The criteria for outpatient management can vary based on the center’s experience and resources and mainly involve partial thickness burns affecting <5% of the total body surface area and burns with minimal involvement of special areas. A careful review of the patient’s social and economic situation is an essential component of the assessment for successful outpatient burn care, as the child’s family should be able to support the wound care, attend to follow-up consultation, and have access to transportation for timely access to a specialized burn center. The treatment goal should be to close the burn wounds as soon as possible. The outpatient care strategy should include adequate pain management, local wound care, home instructions, and follow-up until the burn wounds are well reepithelialized. The most important potential complication is wound infection. It is relevant to know the symptoms and signs of local and systemic infection, so that infections can be treated in a timely and adequate manner. At our outpatient burn center in Chile, we can successfully manage 85% to 90% of patients with burns by making adequate patient selection, having an outpatient management strategy that includes family education, and knowing the possible complications.
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    Necrotizing Fasciitis Due To Mosquito Bite
    (Başkent Üniversitesi, 2022-09) Burak Ozkan; Abdullah Kizmaz; Orkhan Sahpazov; Cem Aydogan; Cagri A. Uysal; Mehmet Haberal
    ABSTRACT Necrotizing fasciitis more often occurs in patients with diabetic vasculopathies, in those who are immuno-compromised, or in those exposed to blunt or penetrating trauma. Aggressive debridement and salvage of the relevant extremity are important in the treatment to prevent patients from entering sepsis. In this case report, we describe a 66-year-old male patient with diabetes mellitus who developed necrotizing fasciitis after a mosquito bite.
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    CASE REPORT Role of Burn Teams in Management of Inflammatory Skin Reactions: Report of 2 Cases
    (Başkent Üniversitesi, 2022-06) A. Ebru Abali; Cem Aydogan; Santiago J. Santelis; Nesibe Deren Ozcan; Ozlem Ozbek; Mehmet Haberal
    ABSTRACT Several manifestations of inflammatory skin reactions have been described. Toxic epidermal necrolysis is an acute skin inflammatory reaction. It is generally triggered by upper respiratory tract infections or by medications such as nonsteroid anti-inflammatory drugs, antibiotics, and anticonvulsants. It is associated with a significant mortality of 30% to 50% and long-term sequelae. Here, we present 2 cases of toxic epidermal necrolysis who were treated by a multidisciplinary team involving burn professionals.