#4TH DEGREE BURN FACE SKIN#
#4TH DEGREE BURN FACE FULL#

Common chronic refractory wounds include wounds caused by infection, pressure injury, diabetes mellitus, trauma, burns and arteriovenous ulcers.

#4TH DEGREE BURN FACE SKIN#

The goal of closing the wound can be achieved clinically by controlling infection, removing necrotic tissue, negative pressure-based suction through vacuum sealing drainage, ligating veins, skin grafting and flaps. For fourth degree burns affecting a local small area, local flap transfer or free flap can be used to cover the wound.Ĭhronic wound healing is defined by wounds that cannot achieve anatomical and functional integrity through a normal, orderly and timely repair process. Eschar formation and skin grafting are commonly used to cover the wounds of fourth degree burns after debridement. It is necessary to ensure that the body’s natural wound repair processes in patients with severe burns are supported to restore good skin condition. The wound surface has no vesicle formation, appears waxy white or scorched yellow in color and develops skin necrosis following dehydration to form an eschar.

#4TH DEGREE BURN FACE FULL#

This was beneficial to the patient’s recovery and survival of the skin flap.įourth degree burns to the skin, also known as full thickness burns, and usually injure both layers of the skin (dermis and epidermis) along with underlying tissues such as bone and muscle. Due to the patient living in Xi’ning City which has an altitude as high as 2260 m above sea level, hyperbaric oxygen therapy was given repeatedly from initial admission until the local flap transfer operation to cover the exposed skull wounds. The skull was drilled to induce granulation, and the wound was closed with a local flap transfer.

The patient was given a skin graft from the thigh, but some of the skin slices were observed to have survived poorly, resulting in further skull exposure. As head and facial burn wounds were not suitable for early escharectomy, she was treated with systemic nutritional support, local wound exposure, debridement and skin grafting at a later stage. Skull periosteum and facial deep fascia were exposed resulting in complications with wound repair. This followed an episode of syncope which led to her collapse onto a fire basin. Core Tip: We report the case of a female patient who suffered a fourth degree burn in the left temporal part of her face.

4th degree burn face