PMC6026718_01
(A) The patient sustained 3% TBSA superficial partial-thickness burns to his face with singed facial and nasal hair. (B) He also sustained 7% TBSA mixed deep partial thickness and full thickness burns to his right arm and hands. (C) There was 6% TBSA deep partial-thickness burns of his left forearm and hands.
gr1.jpg
PMC6026718_01_gr1.jpg
fig0005
He sustained 16% total body surface area (TBSA) burns to his face as well as both arms and hands (Fig. 1).
(A) After burns debridement, a sheet of Biobrane  (UDL Laboratories, Rockford, IL) was applied over the patient's face. (B) Decompressive fasciotomies of his right hand were performed due to worsening, severe pain and tenderness with marked swelling and impaired fingertip capillary refill. This provided immediate symptomatic relief.
gr2.jpg
PMC6026718_01_gr2.jpg
fig0010
IL) to his face (Fig. 2A). Immediately after surgery, he complained of worsening, severe right hand pain, and an emergent fasciotomy was done for presumptive compartment syndrome (Fig. 2B).
(A) Autologous skin grafting resulted in successful wound coverage of the patient's arms and left hand. (B) A pedicled flap from the groin was required to provide definitive coverage of the patient's right hand and fingers because successive debridements had led to exposure of extensor tendons and phalangeal bones, resulting in skin graft failure.
gr3.jpg
PMC6026718_01_gr3.jpg
fig0015
Autologous split-thickness skin-grafting was performed; the dorsum of his right hand ultimately required coverage with a groin flap (Fig. 3).