2024 Volume 50 Issue 2 Pages 44-50
Ultra-early excision has been widely used as a treatment strategy for extensive burns; however, it is not commonly used for non-extensive burns. Herein, we report a case of a flame burn in which satisfactory results were achieved by combining ultra-early excision with artificial dermis and negative pressure wound therapy (NPWT). A 66-year-old man with a history of lung cancer, renal cancer, and chronic renal failure attempted suicide by setting himself on fire. He was transferred to our hospital. He sustained 14% TBSA burns on his right trunk and left groin. Burn index was 12.5. On the second day post-injury, ultra-early excision was performed on the right trunk, and artificial dermis was applied and secured with NPWT. On the fourth day post-injury, a second operation was performed on the left groin, and total burn eschar removal was achieved. On the 18th day post-injury, we performed split-thickness skin grafting. The grafts took well, and the patient was transferred to another hospital on the 42nd day post-injury for rehabilitation. For non-extensive flame burns, a combination of ultra-early excision with artificial dermis and NPWT significantly reduced pain and medical resources required for treatment. We believe this approach is an effective treatment strategy for non-extensive flame burns and provides insights into the indications for ultra-early excision.
