Introduction: Management of burn blister has always been controversial. The options available are deroofing the blister, aspiration of fluid or leaving the blister intact. There is no set dressing protocol for managing blisters. Aims and objectives: To compare two treatment modalities i.e. deroofing and keeping the burn blister intact for the optimal management of minor superficial 2nd degree burns. Material and Methods: This prospective study was done on 27 patients who presented with minor superficial 2nd degree burns of upper limbs. Total of 50 blister wounds were randomly split into two categories of 25 each. One subset of blisters (Category 1) was deroofed and dressed every alternate day with silver alginate dressing. The other subset of blisters was left intact (Category 2) and dressed every alternate day. The parameters assessed and compared were pain at burn site, soakage of dressing and time to complete healing Statistical Analysis: Student t –test and Chi square (χ2) test . SPSS 21 software Results: The mean age of patients was 36 years. Category 1 wound patients had more pain (as assessed by Visual Analogue Scale) in comparison to Category 2 wounds. The time to wound healing was less by mean of 1.7days in Category 1 wounds compared to Category 2 wounds. Wound soakage was comparable in both subsets. Conclusion: De roofing a burn blister results in statistically significant decrease in time to wound healing and is recommended for management of minor superficial 2nd degree burns.
{"title":"Managing blisters in minor burns: Should they be deroofed?","authors":"Ramneesh Garg, Devika Rakesh, R. Mittal, Sheerin Kathpal, Amandeep Kaur, Karan Singh","doi":"10.4103/ijb.ijb_25_20","DOIUrl":"https://doi.org/10.4103/ijb.ijb_25_20","url":null,"abstract":"Introduction: Management of burn blister has always been controversial. The options available are deroofing the blister, aspiration of fluid or leaving the blister intact. There is no set dressing protocol for managing blisters. Aims and objectives: To compare two treatment modalities i.e. deroofing and keeping the burn blister intact for the optimal management of minor superficial 2nd degree burns. Material and Methods: This prospective study was done on 27 patients who presented with minor superficial 2nd degree burns of upper limbs. Total of 50 blister wounds were randomly split into two categories of 25 each. One subset of blisters (Category 1) was deroofed and dressed every alternate day with silver alginate dressing. The other subset of blisters was left intact (Category 2) and dressed every alternate day. The parameters assessed and compared were pain at burn site, soakage of dressing and time to complete healing Statistical Analysis: Student t –test and Chi square (χ2) test . SPSS 21 software Results: The mean age of patients was 36 years. Category 1 wound patients had more pain (as assessed by Visual Analogue Scale) in comparison to Category 2 wounds. The time to wound healing was less by mean of 1.7days in Category 1 wounds compared to Category 2 wounds. Wound soakage was comparable in both subsets. Conclusion: De roofing a burn blister results in statistically significant decrease in time to wound healing and is recommended for management of minor superficial 2nd degree burns.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"31 - 35"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41772378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Firecracker injuries are common in India, of which the majority takes place during Diwali. This study analyzes the profile of firecracker injuries in the emergency department (ED) of GMCH, Guwahati. Materials and Methods: This is a retrospective observational study of all firecracker-related injury patients presenting to our ED 3 days prior and post Diwali from 2016 to 2020. Details of the demographics, cause, and percentage of burns were included. Treatment given for the patients is not mentioned in this study. Results: We received a total number of 195 patients with burn injuries to the ED from 2016 to 2020, 3 days prior and post Diwali, of which 54.3% (106) cases are firecracker-related burn injuries. 46.2% of the cases were under the age of 19 years. Male (71.7%) predominance was noted. The majority of the injuries involved <20% total body surface area (80.2%). It is noted that the right hand (54%) is most commonly involved followed by the face (17%) and torso (17%). Fountain (38%) is observed to be the most common firecracker causing injuries. In 2020, during the COVID pandemic, there were only two reported cases attending to the ED during the specified period. Conclusions: This study has expressed the pattern of firecracker injuries in our place during Diwali. An alarmingly high number of young adolescents with significant upper limb injuries were noted. These injuries are prevalent in the productive age groups. Public awareness and education along with an increase in legislative enforcement are needed for the betterment and well-being of the people during the festival season to prevent the catastrophe.
{"title":"Fire-cracker burn injuries during Diwali, a seasonal and preventable epidemic","authors":"K. Kalita, Swamy Gurindagunta","doi":"10.4103/ijb.ijb_29_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_29_21","url":null,"abstract":"Background: Firecracker injuries are common in India, of which the majority takes place during Diwali. This study analyzes the profile of firecracker injuries in the emergency department (ED) of GMCH, Guwahati. Materials and Methods: This is a retrospective observational study of all firecracker-related injury patients presenting to our ED 3 days prior and post Diwali from 2016 to 2020. Details of the demographics, cause, and percentage of burns were included. Treatment given for the patients is not mentioned in this study. Results: We received a total number of 195 patients with burn injuries to the ED from 2016 to 2020, 3 days prior and post Diwali, of which 54.3% (106) cases are firecracker-related burn injuries. 46.2% of the cases were under the age of 19 years. Male (71.7%) predominance was noted. The majority of the injuries involved <20% total body surface area (80.2%). It is noted that the right hand (54%) is most commonly involved followed by the face (17%) and torso (17%). Fountain (38%) is observed to be the most common firecracker causing injuries. In 2020, during the COVID pandemic, there were only two reported cases attending to the ED during the specified period. Conclusions: This study has expressed the pattern of firecracker injuries in our place during Diwali. An alarmingly high number of young adolescents with significant upper limb injuries were noted. These injuries are prevalent in the productive age groups. Public awareness and education along with an increase in legislative enforcement are needed for the betterment and well-being of the people during the festival season to prevent the catastrophe.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"70 - 75"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41995158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SARS-CoV-2 (COVID-19) pandemic is still ravaging territories and spreading like wildfire. Infection with this virus is already complicating many clinical and emergency situations by overlapping symptoms, development of newer protocols for disease management, by redefining prognostic indicators, and upscaling the level of protection required for health-care workers. The current report outlines the tribulations and dilemmas of managing an asymptomatic 35% total body surface area burn patient with concomitant SARS-CoV-2 infection, from its diagnosis till full wound healing. Countries with a large population and a high incidence of SARS-CoV-2 infection need to maintain a high index of suspicion for a concomitant SARS-CoV-2 infection because asymptomatic patients can present with burns and they can also be carriers. Further, there is a need to strategize the deployment of resources, workforce, and burn wound management and to adopt effective precautionary measures for better outcomes and safety of health-care workers.
{"title":"Management of SARS-Cov-2-positive major burns: The tribulations and dilemmas","authors":"Raman Sharma, R. Ahuja","doi":"10.4103/ijb.ijb_32_20","DOIUrl":"https://doi.org/10.4103/ijb.ijb_32_20","url":null,"abstract":"SARS-CoV-2 (COVID-19) pandemic is still ravaging territories and spreading like wildfire. Infection with this virus is already complicating many clinical and emergency situations by overlapping symptoms, development of newer protocols for disease management, by redefining prognostic indicators, and upscaling the level of protection required for health-care workers. The current report outlines the tribulations and dilemmas of managing an asymptomatic 35% total body surface area burn patient with concomitant SARS-CoV-2 infection, from its diagnosis till full wound healing. Countries with a large population and a high incidence of SARS-CoV-2 infection need to maintain a high index of suspicion for a concomitant SARS-CoV-2 infection because asymptomatic patients can present with burns and they can also be carriers. Further, there is a need to strategize the deployment of resources, workforce, and burn wound management and to adopt effective precautionary measures for better outcomes and safety of health-care workers.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"95 - 98"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47767661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Harsha Vardhan, Vishal Lodhi, B. Mishra, D. Upadhyay, Vijay Kumar, S. Singh
Background: The primary care of a burn victim focuses on the resuscitation. The burns wound draws the attention, with interest of the provider as well as the patient waning after the healing of the wound. “Late burn care” is an important part of burns management that, if delayed, results in the formation of contractures. Simple methods suh as early skin grafting, splintage, and physical therapy prevent the development of these debilitating contractures. Despite this, postburns contractures are a common sequelae. Aims and Objectives: The aim of this paper is to identify the lacunae in late primary care, provided to patients presenting to us with postburn contractures. Materials: A review of all patients admitted with postburns contractures from January 2016 to December 2018, was done. Results: A total of 427 patients were admitted in this period out of which 254 responded for the interviews. The epidemiology of postburn contractures has been described. The lacunae in late primary burn care have been identified. Conclusion: Critical contracture areas are areas, which although innocuous in terms of body surface area burnt, have a high propensity to form contractures and require special care. Public health programs, effective in combating diseases like polio and tuberculosis, can also help preventing burn contractures. Spreading awareness about the basic tenets of contracture prevention will drastically reduce the burden of burn contractures.
{"title":"Treatment delayed is treatment denied: A review of late burn care in patients presenting with post burn contractures to a tertiary hospital","authors":"Harsha Vardhan, Vishal Lodhi, B. Mishra, D. Upadhyay, Vijay Kumar, S. Singh","doi":"10.4103/ijb.ijb_1_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_1_21","url":null,"abstract":"Background: The primary care of a burn victim focuses on the resuscitation. The burns wound draws the attention, with interest of the provider as well as the patient waning after the healing of the wound. “Late burn care” is an important part of burns management that, if delayed, results in the formation of contractures. Simple methods suh as early skin grafting, splintage, and physical therapy prevent the development of these debilitating contractures. Despite this, postburns contractures are a common sequelae. Aims and Objectives: The aim of this paper is to identify the lacunae in late primary care, provided to patients presenting to us with postburn contractures. Materials: A review of all patients admitted with postburns contractures from January 2016 to December 2018, was done. Results: A total of 427 patients were admitted in this period out of which 254 responded for the interviews. The epidemiology of postburn contractures has been described. The lacunae in late primary burn care have been identified. Conclusion: Critical contracture areas are areas, which although innocuous in terms of body surface area burnt, have a high propensity to form contractures and require special care. Public health programs, effective in combating diseases like polio and tuberculosis, can also help preventing burn contractures. Spreading awareness about the basic tenets of contracture prevention will drastically reduce the burden of burn contractures.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"57 - 62"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44309970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: The objective of the study is to analyze the presence and intensity of depression symptoms in burn survivors. Methods: This is a descriptive and quantitative study, with 36 participants with burns admitted to a referral center in Londrina/PR, between January 2016 and May 2019. Interviews were conducted at two moments after hospital discharge with the application of psychometric scales for depression (Beck, Hamilton, and Montgomery-Asberg) and a semi-structured questionnaire for information on sociodemographic data. Data analysis was performed using statistical tests. Results: Most participants presented moderate and severe depressive symptoms, which were higher in the second interview. Regardless of having a previous diagnosis, there was an increase in the intensity of depressive symptoms from the first to the second assessment due to dissatisfaction with self-image, but without a significant association with sociodemographic variables. Most participants reported not wearing clothing to cover the injury and not worrying about hiding the injury. Conclusion: The expressive majority of the participants had depressive symptoms, the majority of which were of moderate and severe intensity.
{"title":"Depressive symptoms in individuals with burns: A Brazilian study","authors":"Sandra Pinatti de Moraes, J. Marcolan","doi":"10.4103/ijb.ijb_18_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_18_21","url":null,"abstract":"Objectives: The objective of the study is to analyze the presence and intensity of depression symptoms in burn survivors. Methods: This is a descriptive and quantitative study, with 36 participants with burns admitted to a referral center in Londrina/PR, between January 2016 and May 2019. Interviews were conducted at two moments after hospital discharge with the application of psychometric scales for depression (Beck, Hamilton, and Montgomery-Asberg) and a semi-structured questionnaire for information on sociodemographic data. Data analysis was performed using statistical tests. Results: Most participants presented moderate and severe depressive symptoms, which were higher in the second interview. Regardless of having a previous diagnosis, there was an increase in the intensity of depressive symptoms from the first to the second assessment due to dissatisfaction with self-image, but without a significant association with sociodemographic variables. Most participants reported not wearing clothing to cover the injury and not worrying about hiding the injury. Conclusion: The expressive majority of the participants had depressive symptoms, the majority of which were of moderate and severe intensity.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"40 - 46"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43453462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Skin coverage is a greatest challenge in severe burns when the donor sites are limited. Early skin cover is important to reduce morbidity and mortality in severe burns. We use to harvest skin from cadavers at intensive care units (ICUs) for temporary cover of excised burn wounds. As we do not get enough cadaveric donations from ICUs, we plan to conduct this study to identify awareness and knowledge on it. Methods: We collected data from doctors and nurses working in surgical ICUs (general surgical, accident and emergency, and neurosurgical) by a self-administered questionnaire. Then, we analyzed the results by SPSS 19 data package. Results: One hundred and forty participants responded to our questionnaire including 118 nurses and 22 doctors. Only 40% (n = 48) of nurses and 60% (n = 13) of doctors were aware about cadaveric skin donation. Only 31% (n = 44) knew that tissue or blood matching is not needed for it. 88% (n = 124) knew that graft is mainly taken from thighs. Some responded as skin of the patients with comorbidities cannot be used for the transplant. Twelve percent (n = 18) knew whom to contact when the patient for cadaveric skin transplant is identified. Only 17% (n = 24) thinks that it does not cause much disfigurement to the cadaver. Thirteen percent (n = 18) did not know any details about skin donation. Conclusion: There is a knowledge deficit in ICU staffs regarding awareness and knowledge on cadaveric skin harvest. We could not compare the doctors and nurses as there were less participants in doctors. In ICUs, an awareness campaign is required. In future, this concept should be assessed in general public as well.
{"title":"Knowledge and awareness on deceased donor skin harvest among intensive care units' staffs in national hospital of Sri Lanka","authors":"Sivasuganthan Kanesu, G. Ekanayake","doi":"10.4103/ijb.ijb_16_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_16_21","url":null,"abstract":"Introduction: Skin coverage is a greatest challenge in severe burns when the donor sites are limited. Early skin cover is important to reduce morbidity and mortality in severe burns. We use to harvest skin from cadavers at intensive care units (ICUs) for temporary cover of excised burn wounds. As we do not get enough cadaveric donations from ICUs, we plan to conduct this study to identify awareness and knowledge on it. Methods: We collected data from doctors and nurses working in surgical ICUs (general surgical, accident and emergency, and neurosurgical) by a self-administered questionnaire. Then, we analyzed the results by SPSS 19 data package. Results: One hundred and forty participants responded to our questionnaire including 118 nurses and 22 doctors. Only 40% (n = 48) of nurses and 60% (n = 13) of doctors were aware about cadaveric skin donation. Only 31% (n = 44) knew that tissue or blood matching is not needed for it. 88% (n = 124) knew that graft is mainly taken from thighs. Some responded as skin of the patients with comorbidities cannot be used for the transplant. Twelve percent (n = 18) knew whom to contact when the patient for cadaveric skin transplant is identified. Only 17% (n = 24) thinks that it does not cause much disfigurement to the cadaver. Thirteen percent (n = 18) did not know any details about skin donation. Conclusion: There is a knowledge deficit in ICU staffs regarding awareness and knowledge on cadaveric skin harvest. We could not compare the doctors and nurses as there were less participants in doctors. In ICUs, an awareness campaign is required. In future, this concept should be assessed in general public as well.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"36 - 39"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43506102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Faraj Elmishat, A. Muganza, I. Bombil, A. Mannell, M. Nel
Context: The time of debridement of burn wounds is controversial. This study assessed the outcomes of various times of excision of full-thickness thermal burns involving a total body surface area (TBSA) of 15%–40% when immediate grafting is not possible. Aims: This study aimed to compare mortality rate and hospital days between very early excision, delayed early excision, and delayed excision. Setting and Design: This was a retrospective observational research study of 103 patients older than 18 years with full-thickness thermal burns involving a TBSA of 15%–40%, admitted to our Adult Burns Unit from January 2014 to December 2016. Subjects and Methods: Only “traditional” burn wound dressings such as Jelonet, Melladerm, Anticoat, or bandages were used without immediate skin grafting. Using the STATA Version 14.2 (College Hill, TX) statistical program, the Mann–Whitney U-test was used to compare any two groups, the Kruskal–Wallis test to determine differences between any three groups and the Chi-square test to measure associations between gender and patient outcome. Linear regression was used to determine the predictors of the number of hospital days postsurgery. Results: With a median patient age of 34 years, 66% were male. The majority had delayed excision (41.7%), 34% had delayed early excision and 24.3% had very early excision. Conclusions: Where immediate cover after excision is not possible due to cost or availability, and the wound is only covered with “traditional” burn dressings, early excisions had no advantage over delayed excisions with regard to mortality rate or duration of hospital stay.
背景:烧伤创面的清创时间存在争议。本研究评估了在不能立即移植的情况下，全身表面积(TBSA)为15%-40%的全层热烧伤不同时间切除的结果。目的:本研究旨在比较很早切除、延迟早期切除和延迟切除的死亡率和住院天数。背景和设计:这是一项回顾性观察性研究，纳入了2014年1月至2016年12月在我院成人烧伤科收治的103例年龄大于18岁的全层热烧伤患者，TBSA为15%-40%。对象和方法:仅使用“传统”烧伤创面敷料，如Jelonet、Melladerm、Anticoat或绷带，无需立即植皮。使用STATA Version 14.2 (College Hill, TX)统计程序，Mann-Whitney u检验用于比较任意两组，Kruskal-Wallis检验用于确定任意三组之间的差异，卡方检验用于测量性别与患者预后之间的关联。采用线性回归确定术后住院天数的预测因子。结果:患者中位年龄34岁，66%为男性。迟发性切除占多数(41.7%)，迟发性早期切除占34%，极早切除占24.3%。结论:由于成本或可用性原因，在切除后无法立即覆盖，并且伤口仅用“传统”烧伤敷料覆盖的情况下，在死亡率或住院时间方面，早期切除与延迟切除相比没有优势。
{"title":"Timing of excision of full-thickness burns and the effect of delay on outcome","authors":"Faraj Elmishat, A. Muganza, I. Bombil, A. Mannell, M. Nel","doi":"10.4103/ijb.ijb_22_20","DOIUrl":"https://doi.org/10.4103/ijb.ijb_22_20","url":null,"abstract":"Context: The time of debridement of burn wounds is controversial. This study assessed the outcomes of various times of excision of full-thickness thermal burns involving a total body surface area (TBSA) of 15%–40% when immediate grafting is not possible. Aims: This study aimed to compare mortality rate and hospital days between very early excision, delayed early excision, and delayed excision. Setting and Design: This was a retrospective observational research study of 103 patients older than 18 years with full-thickness thermal burns involving a TBSA of 15%–40%, admitted to our Adult Burns Unit from January 2014 to December 2016. Subjects and Methods: Only “traditional” burn wound dressings such as Jelonet, Melladerm, Anticoat, or bandages were used without immediate skin grafting. Using the STATA Version 14.2 (College Hill, TX) statistical program, the Mann–Whitney U-test was used to compare any two groups, the Kruskal–Wallis test to determine differences between any three groups and the Chi-square test to measure associations between gender and patient outcome. Linear regression was used to determine the predictors of the number of hospital days postsurgery. Results: With a median patient age of 34 years, 66% were male. The majority had delayed excision (41.7%), 34% had delayed early excision and 24.3% had very early excision. Conclusions: Where immediate cover after excision is not possible due to cost or availability, and the wound is only covered with “traditional” burn dressings, early excisions had no advantage over delayed excisions with regard to mortality rate or duration of hospital stay.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"26 - 30"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41534224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Water bodies purvey plenty of natural resources that are utilized to manufacture materials or are employed as novel medicines in medical and dental practice. Among sponges, corals, fishes, and other marine life forms, one promising source is the “tilapia fish.” It is principally farmed for the utilization and construction of therapeutic biomaterials. As oral physicians or dental practitioners, we grapple with many oral lesions and wounds in routine practice, “burns” being one of them. Tilapia skin and its collagen are being applied for dermatological burns. Since the branch of medicine encourages innovative ideas and research work in the treatment of challenging oral lesions, this article aims to communicate the idea of its usefulness in oral burns and alike lesions, making tilapia a neoteric healing agent, keeping in mind the remarkable biological properties it possesses.
{"title":"Use of “tilapia” as a therapeutic agent in oral mucosal burns: An unprecedented proposal","authors":"Areeba Shahid, Shivakumar Ganiga, Sahana Shivakumar","doi":"10.4103/ijb.ijb_31_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_31_21","url":null,"abstract":"Water bodies purvey plenty of natural resources that are utilized to manufacture materials or are employed as novel medicines in medical and dental practice. Among sponges, corals, fishes, and other marine life forms, one promising source is the “tilapia fish.” It is principally farmed for the utilization and construction of therapeutic biomaterials. As oral physicians or dental practitioners, we grapple with many oral lesions and wounds in routine practice, “burns” being one of them. Tilapia skin and its collagen are being applied for dermatological burns. Since the branch of medicine encourages innovative ideas and research work in the treatment of challenging oral lesions, this article aims to communicate the idea of its usefulness in oral burns and alike lesions, making tilapia a neoteric healing agent, keeping in mind the remarkable biological properties it possesses.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"12 - 14"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43421271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.4103/0971-653x.206400
Vaishali Srivastava, Shardendu Sharma, D. Rathore
Context: Keloids and hypertrophic scars are a cause of severe impairment of quality of life. Intralesional triamcinolone acetonide has been used at different intervals at various centers. Aim: This study was aimed to compare the efficacy of intralesional triamcinolone acetonide at 2-, 4-, and 6-week intervals in hypertrophic scars and keloids. Settings and Design: This study was conducted in the plastic surgery outpatient department of a tertiary care hospital. This is an interventional prospective study, randomization was done using a computer-generated sequence. Materials and Methods: In this study conducted from October 2015 to January 2017, administration of triamcinolone acetonide 40 mg/ml at 2-weekly, 4-weekly, and 6-weekly intervals was done in case of hypertrophic scars and keloids for up to 8 doses or till Vancouver Scar (VCS) scale of 4 was achieved. VCS, pain, and itching were noted and compared. Statistical Analysis: VCS scale was used for comparison using analysis of variance test. The visual analog scale was compared using an unpaired t-test. Qualitative data were compared using the Chi-square test/Fischer's exact test. P < 0.05 was considered statistically significant. Results: The 2-weekly regimen was found to show better results in terms of pain and scar improvement. It also required a lesser number of doses to produce the same effect. The response to itching was comparable in 2- and 4-weekly groups and was better than 6-weekly group. Minimal complications were noted in the three groups. Conclusion: Two-weekly regimen of triamcinolone acetonide is recommended for intralesional use in hypertrophic scars and keloids.
{"title":"Comparison of efficacy of intralesional triamcinolone acetonide at 2-, 4-, and 6-week intervals in hypertrophic scars and keloids","authors":"Vaishali Srivastava, Shardendu Sharma, D. Rathore","doi":"10.4103/0971-653x.206400","DOIUrl":"https://doi.org/10.4103/0971-653x.206400","url":null,"abstract":"Context: Keloids and hypertrophic scars are a cause of severe impairment of quality of life. Intralesional triamcinolone acetonide has been used at different intervals at various centers. Aim: This study was aimed to compare the efficacy of intralesional triamcinolone acetonide at 2-, 4-, and 6-week intervals in hypertrophic scars and keloids. Settings and Design: This study was conducted in the plastic surgery outpatient department of a tertiary care hospital. This is an interventional prospective study, randomization was done using a computer-generated sequence. Materials and Methods: In this study conducted from October 2015 to January 2017, administration of triamcinolone acetonide 40 mg/ml at 2-weekly, 4-weekly, and 6-weekly intervals was done in case of hypertrophic scars and keloids for up to 8 doses or till Vancouver Scar (VCS) scale of 4 was achieved. VCS, pain, and itching were noted and compared. Statistical Analysis: VCS scale was used for comparison using analysis of variance test. The visual analog scale was compared using an unpaired t-test. Qualitative data were compared using the Chi-square test/Fischer's exact test. P < 0.05 was considered statistically significant. Results: The 2-weekly regimen was found to show better results in terms of pain and scar improvement. It also required a lesser number of doses to produce the same effect. The response to itching was comparable in 2- and 4-weekly groups and was better than 6-weekly group. Minimal complications were noted in the three groups. Conclusion: Two-weekly regimen of triamcinolone acetonide is recommended for intralesional use in hypertrophic scars and keloids.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"47 - 51"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47397894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Ravi, Rohit Phulwar, N. Panse, Parag Sahasrabudhe
The use of alcohol-based sanitizer solutions has become ubiquitous during the COVID-19 epidemic. However, the public at large is not aware of the hazards associated with their use. In this article, through three representative cases, we discuss accidental burns occurring due to the use of alcohol-based sanitizers and highlight the hazards associated with flammability of the compound. We also would like to propose precautions to be followed during the sale and use of such products and discuss preventive measures for sanitizer burns.
{"title":"Sanitizer burns: An alcoholic problem","authors":"S. Ravi, Rohit Phulwar, N. Panse, Parag Sahasrabudhe","doi":"10.4103/ijb.ijb_28_20","DOIUrl":"https://doi.org/10.4103/ijb.ijb_28_20","url":null,"abstract":"The use of alcohol-based sanitizer solutions has become ubiquitous during the COVID-19 epidemic. However, the public at large is not aware of the hazards associated with their use. In this article, through three representative cases, we discuss accidental burns occurring due to the use of alcohol-based sanitizers and highlight the hazards associated with flammability of the compound. We also would like to propose precautions to be followed during the sale and use of such products and discuss preventive measures for sanitizer burns.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"99 - 101"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46167017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：