1;Prefaces;5 2;Contents;9 3;PART 1: Primary Burn Wound Management;13 3.1;CHAPTER 1: Primary Wound Management: Assessment of Acute Burns;14 3.1.1;Introduction;14 3.1.2;Evaluation of the Total Body Surface of the Burns;14 3.1.2.1;Rule of 9;14 3.1.2.2;TBSA Following Age;14 3.1.3;Estimation of Burn Depth;14 3.1.4;Clinical Evaluation;15 3.1.4.1;First Degree;15 3.1.4.2;Superficial Second Degree;15 3.1.4.3;Deep Second Degree;16 3.1.4.4;Third Degree;16 3.1.5;Conclusion;17 3.2;CHAPTER 2: Primary Wound Management: Strategy Concerning Local Treatment;18 3.2.1;Introduction;18 3.2.2;Blister Management;18 3.2.3;When to Operate;18 3.2.4;Local Dressings;18 3.2.5;Pain Management;19 3.2.6;Surgery;19 3.2.7;Dermis and/or Skin Substitutes;19 3.2.8;Conclusion;21 3.3;CHAPTER 3: Debridement of the Burn Wound;22 3.3.1;Rationale for Debridement;22 3.3.2;Debridement of Blisters;22 3.3.3;Timing of Debridement;23 3.3.4;Technical Considerations;23 3.3.5;Debridement of Hand Burns;24 3.3.6;Debridement in Facial Burns;25 3.3.7;Tangential Excision;25 3.3.8;Fascial Excision;25 3.3.9;Hydrosurgical System Versajet;26 3.4;CHAPTER 4: Application of VAC Therapy in Burn Injury;27 3.4.1;Burn Wound Paradigm;27 3.4.2;Subatmospheric Pressure Wound Therapy;28 3.4.3;Summary;28 3.5;CHAPTER 5: Use of Vacuum-Assisted Closure (V.A.C.)® and Integra® in Reconstructive Burn Surgery;33 3.5.1;Skin Substitutes;33 3.5.2;Negative Pressure Wound Therapy;33 3.5.3;VAC with Integra;34 3.6;CHAPTER 6: ReCell;37 3.6.1;Background of the Technique;37 3.6.2;Characteristics and Indications for Use;37 3.6.3;Specific Skill of the Method;38 3.6.4;Clinical Cases;41 3.6.4.1;Case 1;41 3.6.4.2;Case 2: One-Year-Old Patient;43 3.6.4.3;Case 3;45 3.6.4.4;Case 4;47 3.7;CHAPTER 7: Strategies for Skin Regeneration in Burn Patients;49 3.7.1;Evolution of Burn Treatment;49 3.7.2;Seed vs. Soil Paradigm;49 3.7.3;Understanding Skin Regeneration;49 3.7.4;Current Research and Strategies for Skin Regeneration;51 3.7.5;Future of Regenerative Medicine in Burn Therapy;52 4;PART 2: Burn Scar Management;53 4.1;CHAPTER 8: Diagnosis, Assessment, and Classification of Scar Contractures;54 4.1.1;Diagnosis of Postburn Scar Contractures;54 4.1.2;Assessment and Classification of Postburn Contractures;55 4.2;CHAPTER 9: Prevention of Scar Using bFGF;71 4.2.1;Background of the Method;71 4.2.2;Characterization and Indication of the Method;72 4.2.3;Specific Points of the Method;72 4.2.4;Case 1;73 4.2.5;Case 2;75 4.2.6;Case 3;77 4.2.7;Case 4;79 4.3;CHAPTER 10: Medical Needling;81 4.3.1;Background of the Technique;81 4.3.2;Topical Adjuncts;81 4.3.3;Needle Depth;82 4.3.4;Characteristics and Indication of the Method;82 4.3.5;Indications for Medical Needling Post-Burn Using the 1-mm Roller;82 4.3.6;Indications for Medical Needling Post-Burn Using the 3-mm Roller;82 4.3.7;Advantages of Medical Needling;83 4.3.8;Disadvantages of Medical Needling;83 4.3.9;Specific Skills of the Method;83 4.4;CHAPTER 11: Treatments for Post-Burn Hypertrophic Scars;85 4.4.1;Treatment Strategy of Post-Burn Hypertrophic Scars;85 4.4.2;Partial/Complete Surgical Contracture Releasing ;85 4.4.3;Complete Surgical Resection ;85 4.4.4;Non-Surgical Multi-Modal Therapy ;85 4.4.4.1;Compression Therapy;86 4.4.4.2;Gel Sheeting;86 4.4.4.3;Corticosteroid Injection;86 4.4.4.4;Laser;89 4.4.4.5;External Agents;90 4.4.4.6;Internal Agents;90 4.4.4.7;Make-Up Therapy/Camouflage Therapy;90 4.5;CHAPTER 12: Make-Up Therapy for Burn Scar Patients;91 4.5.1;Background;91 4.5.2;The Method of the Make-Up;91 4.5.2.1;Massage;91 4.5.2.2;Foundation;91 4.5.2.3;Make-Up;92 4.5.3;Clinical Cases;93 4.5.3.1;Case 1;93 4.5.3.2;Case 2;95 4.5.4;Meaning of Make-Up Therapy;97 5;PART 3: Dermal Substitutes/Skin Graft;98 5.1;CHAPTER 13: Dermal Substitutes;99 5.1.1;Background of the Technique;99 5.1.2;Double Layer Dermal Substitutes;99 5.1.3;Single Layer Dermal Substitutes;100 5.1.4;Clinical Cases;101 5.1.4.1;Case 1;101 5.1.4.2;Case 2;103 5.1.4.3;Case 3;105 5.1.5;Discussion;107 5.2;CHAPTER 14: Acellular Alloge