How are burns scar categorised & treated? - Dr. Surindher D S A скачать в хорошем качестве

How are burns scar categorised & treated? - Dr. Surindher D S A

What are the types of burns and deformities you can have and what are the treatments for it? There are books written on them. So it is very difficult to try and categorise them into a small category. Basically those burns after the healing is complete the deformities are mainly the functional deformities and cosmetic deformities. Functional deformities are those where they cannot perform the normal function. There is a loss of critical area of the body because of the burn and scarring. So what are the normal functions that you can do? There can be a contractures, there are no normal soft tissues of the hand to be moving properly. The scarring is deep enough to cause tendon loss. There is scar in the burns have a tendency to contract. So depending on which side of the arm or hand they are they will either form it into a fist where they are not able to use for normal function and if they are on the opposite side they can go in for hyperextension and again they can’t use for normal function and simple functions like eating, picking up a pen or holding a key are difficult. Apart from that when you have burns on the face you can have functional problems like speech, eating might be difficult, around the eyes you can have ectopia, you can have lid deformities. Cornea may be exposed or ear deformities because of ears are lost and because of the burns it is already melted and the scarring there. In the lower limbs you can have functional deformities in the form of you cannot walk, problems wearing normal clothes. So functional problems are the main ones because of which we do reconstructive surgeries. Cosmetically that is major cause of depression in burnt persons because all the scars cause deformities and they are not cosmetically acceptable. Because of the hardness and it is not normal skin texture, it is a visible stigma and it is visible to everybody. So you try and improve the quality of the skin so that your healing is better. Especially for acid buns patient because most of the acid burn patients it is usually on the face and most are females. The treatment depends on what the problem is, whether it is a contracture, whether it is a scarring, cosmetic, and need of the patient we categorise them and give the priorities and always the priorities are the functional ones. So the priorities are getting them to eat properly, do their normal routine work and help them to lead a normal individual life their own not depending on anybody else. After that if they are willing to do more surgeries you can do it. It is a long drawn out step, it is not a one step procedure. You have to do multiple sittings and you will have to do it in multiple stages of life depending on how the scarring is.