A5040192375- Wound Healing and Treatments
- Reconstructive Surgery and Microvascular Techniques
- Dermatologic Treatments and Research
- Reconstructive Facial Surgery Techniques
- Burn Injury Management and Outcomes
- Laser Applications in Dentistry and Medicine
- Body Contouring and Surgery
- Facial Rejuvenation and Surgery Techniques
- Surgical Sutures and Adhesives
- Facial Nerve Paralysis Treatment and Research
- Head and Neck Surgical Oncology
- Orthopedic Surgery and Rehabilitation
- Coagulation, Bradykinin, Polyphosphates, and Angioedema
- Drug-Induced Adverse Reactions
- Congenital limb and hand anomalies
- Sympathectomy and Hyperhidrosis Treatments
- Ear Surgery and Otitis Media
- Blood Coagulation and Thrombosis Mechanisms
- Organ and Tissue Transplantation Research
- Acupuncture Treatment Research Studies
- Genetic and rare skin diseases.
- Nasal Surgery and Airway Studies
- Acne and Rosacea Treatments and Effects
- Healthcare Systems and Challenges
- Facial Trauma and Fracture Management
Massachusetts General Hospital
2006-2024
Shriners Hospitals for Children - Erie
2010-2024
Harvard University
2006-2024
Lemuel Shattuck Hospital
2021-2024
Shriners Hospitals for Children - Boston
2009-2023
Mallinckrodt (United States)
2020
American Burn Association
2010
Burn Institute
2008-2009
American Society of Plastic Surgeons
2008
Indianapolis Zoo
2006
Despite expert wound care and assiduous management with traditional therapy, poor cosmetic outcomes, restricted motion, symptoms such as pain itch are a pervasive problem of disfiguring debilitating scars. The advent ablative fractional photothermolysis within the past decade its application to treatment traumatic scars represents breakthrough in restoration function appearance for injured patients, but procedure is not widely used.To provide synthesis our current clinical experience...
Journal Article Summary of the 2012 ABA Burn Quality Consensus Conference Get access Nicole S. Gibran, MD, FACS, FACS Search for other works by this author on: Oxford Academic Google Scholar Shelley Wiechman, PhD, ABPP, ABPP Walter Meyer, MD Linda Edelman, RN, PhD Jim Fauerbach, Gibbons, MS, MS Radha Holavanahalli, Carly Hunt, MA, MA Kelly Keller, RN Elizabeth Kirk, MSN, APN, APN ... Show more Jacqueline Laird, BSN, Giavonni Lewis, Sidonie Moses, BSN Jill Sproul, Gretta Wilkinson, Steve...
There is currently intense multidisciplinary interest and a maturing body of literature regarding laser treatments for traumatic scars, but international treatment guidelines reimbursement schemes have not yet caught up with current knowledge practice in many centers. The authors intend to highlight the tremendous potential techniques, offer recommendations safe efficacious treatment, promote wider patient access guided by future high-quality research.An panel 26 dermatologists plastic...
Hypertrophic scarring after partial thickness facial burns is common when epithelialization takes longer than 3 weeks. Well-healed areas continue to mature unfavorably, resulting in raised, erythematous, and contracted scars. Excisional treatment of such scars has morbidity can create iatrogenic deformities. The flashlamp-pumped, pulsed dye laser (PDL) combination with z-plasty be used as a successful alternative excision patients hypertrophic burn Fifty-seven (mean age 12 years; range, 2–21...
Objective: The aim of this study is to determine objective and subjective changes in mature hypertrophic burn scars treated with a fractional ablative carbon dioxide (CO 2 ) laser. Background: Fractional CO laser treatment has been reported improve scars, increasing clinical use despite paucity controlled, prospective studies using measures improvement. Methods: A multicenter, site-controlled, open-label was conducted from 2013 2016. Objective patient-reported outcome were documented at...
Suction lipectomy was initially advocated for the treatment of localized collections fat and removal less than 1500 ml material. However, many patients wished to have multiple areas treated or had diffuse fat. In such instances, over material circumferential are necessary provide optimal aesthetic results. when is removed, anesthetic requirements, fluid replacement, blood loss become important if operation be performed safely. We 108 who removed. Eight-eight percent were female; 12 male....
Toxic epidermal necrolysis (TEN) is an acute inflammatory systemic condition that involves injury not just to the skin. Historically, it has been associated with a high mortality but few long-term consequences among survivors. With improved survival, may be becoming more apparent. The objective of this study was define these and their frequency.From July 1, 1991, June 30, 2000, 11 children severe TEN were referred regional pediatric burn facility. Wounds managed strategy involving prevention...
Complement levels of eight adult burn patients (25% to 90% body surface area) were studied upon admission a unit and sequentially for one week. Mean classical pathway titers (CH50) 49% below the normal mean, while hemolytic C4 reduced by 53% C3 43%. However, alternative titer was more than 90%, suggesting preferential depletion this pathway. This associated with sepsis, pneumonia, "shock lung." Alternative deficiency still present week postburn, may contribute susceptibility bacterial sepsis.
We have studied the role of complement system in burn injury an experimental model mice. A 25% body surface area, full-thickness scald wound was produced anesthetized animals. Massive activation alternative pathway, but not classical seen. This associated with generation neutrophil aggregating activity plasma, aggregates lungs, increased pulmonary vascular permeability, and lung edema formation. Decomplementation cobra venom factor (CVF) or genetic C5 deficiency diminished these pathologic...
Severe thermal injuries to the external ear often lead extensive loss of peripheral structures such as helix and lobule but frequently spare more central parts ear, even though they may be grossly deformed by scar contracture. The use spared conchal a transposition flap in combination with remodeling residual auricle release surrounding when indicated has been useful technique reconstruction occurring type postburn deformity. Twenty-four ears have reconstructed 18 patients over past 5 years...
May, James W. Jr. M.D.; Athanasoulis, Christos A. Donelan, Matthias B. M.D. Author Information
Reconstruction of the nose after severe burn injury is a challenging problem. There are usually associated facial burns, which limits availability local flaps. with unburned distant tissue often not appropriate because resulting mismatch in color and texture. Successful nasal reconstruction can be accomplished this group patients using simple, inferiorly based flap from dorsum subsequent skin grafting to defect. We have used an turndown reconstruct deformities 28 patients. The consists...
Burn injuries commonly affect the hand, and development of adduction contractures first web space is frequent deleterious, both functionally aesthetically. Many corrective techniques algorithmic approaches have been described to treat this problem, but there no consensus on optimal management.A retrospective review at a single high-volume pediatric burn center was undertaken evaluate clinical course these patients. All patients undergoing initial release scar contracture from 2005 through...
Reconstruction of the oral commissure following electrical burn injury is a challenging problem. The thin, delicate structure that highly mobile and essential to normal facial appearance expression. When there full-thickness destruction vermilion, mucosa, skin, orbicularis muscle, resulting contracture alters adjacent structures, displaces commissure, distorts animation. Utilizing composite ventral tongue flap mucosa muscle in reconstruction permits effective release scar replaces destroyed...
Using a reproducible pain stimulus, skin sensation was evaluated in prospective study of 50 consecutive patients who underwent suction lipectomy. A total 294 anatomic areas were and treated. Before operation, many found to have patchy decreased sensation, condition that unknown them. Initially after surgery, all had the treated areas. However, usually returned normal 6 8 months. In some patients, sensory return preoperative levels took as long 1 year, few, present even longer. general,...