{"title":"The Two Facing Square Flaps Method for Release of Anterior and Posterior Axillary Line Burn Contractures","authors":"Whitney Laurel Quong, Rei Ogawa","doi":"10.3390/ebj4040034","DOIUrl":"https://doi.org/10.3390/ebj4040034","url":null,"abstract":"With improved burn outcomes and survival rates, the focus of management in large burns has shifted from merely survival towards optimizing form and function for the burn survivor. Due to its unique structural features and functional demands however, the axilla is prone to contracture formation, and remains complex to reconstruct. Where contractures involve both the posterior and anterior axillary lines, the two facing square flaps method is a suitable choice for a wide range of patients. The flap design is flexible, and is relatively safe with a sufficient blood supply. Superior lengthening of approximately 3–4 times can be achieved, and is maintainable. In this surgical technique paper, we describe the strategy of the two facing square flaps, and present two patterns of its application, with representative cases of the local flap method.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135590430","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}
Alison M. Thomlinson, Niamh R. Farrell, Mamta Shah, Sarah L. Gaskell
{"title":"Psychological Evaluation of a Residential Children’s Burns Camp Programme: A Ten-Year Evaluation","authors":"Alison M. Thomlinson, Niamh R. Farrell, Mamta Shah, Sarah L. Gaskell","doi":"10.3390/ebj4030033","DOIUrl":"https://doi.org/10.3390/ebj4030033","url":null,"abstract":"Residential burns camp programmes provide help and support to children with burn injuries by providing activities designed to build their confidence and self-esteem. Our regional burns service has been running camps for over 20 years and evaluation is an important part of assessing their effectiveness. In this study, we report both qualitative and quantitative data from 10 consecutive years of burns camps. Qualitative feedback was gathered using Likert scales and free-response questionnaires at the end of camp and six weeks post-camp. Three quantitative outcome measures, the Paediatric Quality of Life Inventory v4, the Children’s Revised Impact of Event Scale (CRIES8) and the Satisfaction with Appearance scale (SWAP), were completed before and six weeks after camp. Both children and their parents/carers reported that attending the burns camp was helpful for them/their child; meeting other children with burn injuries and developing confidence and self-esteem were cited as reasons. Parents/carers also reported improvements in their child’s physical and psychological functioning post-camp in some years, although these results were not as clear as the qualitative findings. These findings confirm the importance of providing burns camp programmes for children with burn injuries as part of their post-burn rehabilitation.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136236443","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}
Sophie Y. Mok, Susan E. Adams, Andrew J. A. Holland
{"title":"What Changes Have Occurred in the Pattern of Paediatric Burns in the Last Years with Special Attention to the COVID-19 Pandemic?","authors":"Sophie Y. Mok, Susan E. Adams, Andrew J. A. Holland","doi":"10.3390/ebj4030032","DOIUrl":"https://doi.org/10.3390/ebj4030032","url":null,"abstract":"Burns in children remain a prominent mode of injury, resulting in considerable morbidity and mortality globally and are a key cause of disability-adjusted life-years. Paediatric burns present a unique challenge, in part due to the developmental, physical and emotional differences between adults and children. Those living in low- and middle-income settings are particularly vulnerable, facing problems such as overcrowding and floor-level cooking. During the COVID-19 pandemic, stay at home orders and the closure of schools and childcare changed the pattern of paediatric injury across the world, resulting in a general increase in trauma-related presentations. This review will examine recent global trends in paediatric burns, including the impact of COVID-19, specifically focusing on the pattern of burn aetiology over the past decade. It will also look at any changes with regard to epidemiological characteristics; burn site, severity and extent; first aid and location; and management and outcomes.","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135438365","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}
{"title":"Living Skin Substitute Tissue-Is a Replacement for the Autograft Possible?","authors":"Angela L F Gibson","doi":"10.3390/ebj4030031","DOIUrl":"10.3390/ebj4030031","url":null,"abstract":"<p><p>The ideal living tissue skin substitute for use in burn injury does not yet exist. The currently available alternatives to autologous skin grafting require an understanding of their characteristics and limitations to make an informed decision of surgical treatment options. In this review, living tissue substitutes are categorized by autologous and allogeneic cell sources and epidermal-only versus bilayered tissue options. A short summary of the tissue composition, clinical data, and indications is provided. Finally, the gap in technology is defined and future potential areas of research are explored.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"158 1","pages":"492-500"},"PeriodicalIF":1.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86347355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nadia Depetris, Alette De Jong, Clemens Schiestl, Franck Duteille, Jill Meirte, Joan P Barret-Nerin, Paul Van Zuijlen, Jyrki Vuola, Stian Almeland
{"title":"20th Congress of the European Burns Association (EBA).","authors":"Nadia Depetris, Alette De Jong, Clemens Schiestl, Franck Duteille, Jill Meirte, Joan P Barret-Nerin, Paul Van Zuijlen, Jyrki Vuola, Stian Almeland","doi":"10.3390/ebj4030030","DOIUrl":"10.3390/ebj4030030","url":null,"abstract":"<p><p>Abstracts of the plenary and special interest sessions, workshops, and oral and poster presentations of the 20th EBA Congress in Nantes, France from 6-9 September 2023.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"1 1","pages":"330-491"},"PeriodicalIF":1.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89768638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eunyeop Kim, Bingchun Wan, Kyra Jeanine Solis-Beach, Karen Kowalske
{"title":"Outcomes of Patients with Amputation following Electrical Burn Injuries.","authors":"Eunyeop Kim, Bingchun Wan, Kyra Jeanine Solis-Beach, Karen Kowalske","doi":"10.3390/ebj4030029","DOIUrl":"10.3390/ebj4030029","url":null,"abstract":"<p><p>This study aimed to examine patients who sustained amputation as a result of electrical burns and to evaluate their long-term health outcomes compared to non-electrical burn patients with amputation. A retrospective analysis was conducted on burn patients from 1993 to 2021, utilizing the Burn Model System National Database, which includes the Veterans RAND 12-Item Health Survey and the Patient-Reported Outcomes Measurement Information System 29. The data was collected at discharge, 6 months, and 12 months after the burns occurred. The findings revealed that the rate of amputation was significantly higher in electrical burn patients (30.3%) compared to non-electrical burn patients (6.6%) (<i>p</i> < 0.0001). At the time of discharge, electrical burn patients with amputation exhibited significantly lower physical component scores (PCS = 34.00 ± 8.98) than electrical burn patients without amputation (PCS = 44.66 ± 9.90) (<i>p</i> < 0.05). However, there were no significant differences in mental component scores observed between patients, regardless of the burn type or amputation. Among all patient groups, non-electrical burn survivors with amputation faced the greatest challenges in terms of physical and social well-being, likely due to larger total body surface area burns. This study emphasizes the importance of early rehabilitation for electrical burn patients with amputation and highlights the need for ongoing support, both physically and socially, for non-electrical burn survivors with amputation. These findings, consistent with previous studies, underscore the necessity of providing psychological support to all burn survivors.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"33 1","pages":"318-329"},"PeriodicalIF":1.0,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88445964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lianne McDermott, Matthew Hotton, Anna V Cartwright
{"title":"Understanding the Barriers and Enablers for Seeking Psychological Support following a Burn Injury.","authors":"Lianne McDermott, Matthew Hotton, Anna V Cartwright","doi":"10.3390/ebj4030028","DOIUrl":"10.3390/ebj4030028","url":null,"abstract":"<p><p>Burn injuries can be traumatic and distressing for patients, with a prolonged period of recovery. This qualitative study aimed to explore adult burn patients' perceptions of the barriers and facilitators to accessing psychological support in a Regional Burns Service in Southeast England. Participants (five females and six males) were under the care of the burns unit and were not currently accessing psychological support. Eleven semi-structured interviews were conducted. Responses were analysed using thematic analysis. Four main themes highlighted how access to psychology was influenced by communication between the patient and service, beliefs about mental health, environmental challenges, and patient hope. Recommendations for improving access to burn psychological care included (1) the provision of patient resources to increase awareness and reduce stigma; (2) psychological skills training to encourage staff to recognise distress and respond appropriately; (3) staff training in the practice of cultural humility; (4) increasing psychological presence in outpatient appointments and via routine follow-ups.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"2 1","pages":"303-317"},"PeriodicalIF":1.0,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80069366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer Zuccaro, Lisa Lazzarotto, Jamil Lati, Charis Kelly, Joel Fish
{"title":"Investigation of the \"Surgical Cuts CO<sub>2</sub> Laser Therapy Technique\" to Treat Minor Burn Scar Contractures in Children.","authors":"Jennifer Zuccaro, Lisa Lazzarotto, Jamil Lati, Charis Kelly, Joel Fish","doi":"10.3390/ebj4030027","DOIUrl":"10.3390/ebj4030027","url":null,"abstract":"<p><p>Fractional carbon dioxide (CO<sub>2</sub>) laser therapy has been shown to improve scar contractures following burns. However, the benefits of using other CO<sub>2</sub> laser techniques to treat burn scar contractures are relatively unknown. This pilot study investigated a CO<sub>2</sub> laser technique in which a series of perpendicular \"surgical cuts\" were created along the contracture. The aim of this study was to evaluate the effectiveness of using the \"surgical cuts CO<sub>2</sub> laser technique\" in pediatric patients. This study included 12 participants with minor hand burn scar contractures that received one CO<sub>2</sub> laser treatment using the surgical cuts technique. Trained assessors measured contractures pre- and post-laser therapy by assessing range of motion (ROM), digit length, and/or hand-span. All contractures were secondary to contact burns with the mean participant age equal to 5.5 years (SD 3.9). For all participants, at least one of the measured characteristics (ROM, hand-span, and digit length) improved after treatment. This pilot study demonstrated the benefit of using the surgical cuts CO<sub>2</sub> laser technique to treat minor burn scar contractures. Future investigations are needed to further evaluate its effectiveness in comparison to the fractional CO<sub>2</sub> laser therapy technique.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"157 1","pages":"293-302"},"PeriodicalIF":1.0,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88707564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Felicia Dinesen, Pernille Pape, Martin Risom Vestergaard, Lars Simon Rasmussen
{"title":"Reply to Hall et al. Comment on \"Dinesen et al. Diphoterine for Chemical Burns of the Skin: A Systematic Review. <i>Eur. Burn J.</i> 2023, <i>4</i>, 55-68\".","authors":"Felicia Dinesen, Pernille Pape, Martin Risom Vestergaard, Lars Simon Rasmussen","doi":"10.3390/ebj4030026","DOIUrl":"10.3390/ebj4030026","url":null,"abstract":"<p><p>We thank Hall et al. [...].</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"15 1","pages":"292"},"PeriodicalIF":1.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87147874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Developing a Burn-Specific Family-Centered Care (BS-FCC) Framework: A Multi-Method Study.","authors":"Jonathan Bayuo, Anita Eseenam Agbeko","doi":"10.3390/ebj4030025","DOIUrl":"10.3390/ebj4030025","url":null,"abstract":"<p><p>A burn has been described as a family injury warranting the delivery of family-centered care (FCC) across the continuum of burns management. This assertion notwithstanding, only limited progress has been made to develop and implement FCC interventions in the burn unit. As a starting point, this study sought to formulate a tentative framework to underpin FCC in burn care. A multi-method design comprising an umbrella review and the secondary data analysis of qualitative datasets was employed. Following these, the findings were merged and aligned to the Universal Model of FCC to formulate the burn-specific FCC framework. For the umbrella review, four review articles met the criteria for inclusion. Following a data synthesis of the review findings and their integration with the qualitative dataset, four meta-themes that encapsulate the shared needs/concerns of family members of both pediatric and adult burn survivors emerged: (1) psychosocial concerns, (2) issues relating to role changes, (3) logistical concerns, and (4) requiring information. These issues were mapped to the following components of the Universal Model of FCC: family support, education, collaboration, and communication. All these are underpinned by dedicated policies, procedures, and consideration of the family context. Testing and further empirical work are needed to refine and implement the framework across the continuum of burn management.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"3 1","pages":"280-291"},"PeriodicalIF":1.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75325781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}