Burn Therapy in Acute Burn Wounds
Kim's Aesthetic & Burn Plastic Clinic,
Institute of Plastic & Burn Surgery, Kangnam
It is well known that the moist
wound healing offers more proper wound condition,
and more rapid epithelialization of skin than
the dry wound healing. For the managements of
acute burn wounds, also moist wound environments
are reported for rapid repair & regeneration
of skin. The moist exposure burn therapy, and
various moist wound healing products were introduced.
Among them, a ointment for moist exposure burn
wound dressings is MEBO (moist exposure burn
ointment), which had been developed at the Beijing
Guangming Chinese Medicine Institute for burns,
wounds & ulcers, Beijing, China. It's composed
of B-sitosterol 5 mg%, sesame oil 15 mg%, yellow
paraffin 80mg% etc.
I have experienced 8 cases of acute burn patient,
who was managed by MEBT (moist exposure burn
therapy) using MEBO ). The age range of patients
were 17 to 62 year. The range of extent of burn
were ranged from 1 % to 45%. The type of burn
injuries were following that: 5 cases of scalding
burns, 2 flame burns, and 1 electrical burn.
The depths of burns were 2 superficial second
degree burn, 2 mid dermal burns, and 3 mid to
deep dermal burns, and 1 deep dermal to 3rd
degree burns. Among them, 1 case of superficial
second degree & all mid dermal burns, and
1 case of mid to deep dermal burn completely
healed by burn dressing only. As a complication,
at postburn 3 days, erythema & induration
of surrounding normal skin of burn wound was
noticed in 1 case of superficial second degree
burn. And there was high spiking fever and marked
leukopenia and thrombocytopenia were developed
at post burn 4th day in a case of deep dermal
to 3rd degree burn, 45%. These complicated cases
were managed by Silvadene with closed burn dessings.
On serial burn wound cultures, there were no
growth in 6 cases. There were Aeromonas salmonicicda
in 1 case, MRSA wound infection in 1 case.
It was noticeable markedly decreased pain of
burn wound, and easy burn dressing changes.
Also liquefied eschars were very easily removed
day by day from 5 - 6th postburn days. In these
series, the healing period of MEBT using MEBO
) were ranged by 10 days to 26 days. After follow
ups of 2 weeks to 6 months, the healed burn
area of MEBT using MEBO are revealed as relatively
good in cosmetics & functions.
Key Word: Moist
Exposure Burn Therapy, Acute burn, MEBO wound