Clinical

The Johns Hopkins Burn Center provides a comprehensive, nationally recognized program of care for patients with burn injuries and works closely with a multidisciplinary health care team to help patients lead full and productive lives after a burn injury.

 

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ACUTE BURN CARE

Advances in burn management over the past two decades have resulted in improved survival and reduced morbidity.

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The treatment of these patients, each of whom sustained 3rd degree burns over 90% of their bodies, exemplifies the intensity of labour and coordinated hospital care required for such catastrophically injured patients.

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  • Deep 2nd degree burn.

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  • Results of regenerative techniques to promote healing and reduce scarring.

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Scald following accidental spillage of hot coffee

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Late appearance of completely healed burn.

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Casey, as she now appears,having recovered from 60% burns and massive traumatic injuries sustained in a car accident.

 
 

BURN RECONSTRUCTION

Reconstruction begins whenever functional problems develop. In this case early correction of ectropions was performed to prevent desiccation of the eyes. Lower eyelid contractures were released and the resulting defects grafted using full thickness skin grafts harvested from the groin.

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Ectropion of lower eyelids.

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Ectropions corrected, restoring protection of the cornea; appearance a year after a surgery.

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  • A 32 year old male who presented to the Johns Hopkins Burn Reconstruction Clinic for evaluation of his left hand. He was burned when 6 years old.
  • Severe contractures of hand, with dorsiflexion of wrist and close contact between 5th digit and forearm.
  • Preoperative xray. showing contractures with various angulations.

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Clinic appearance 6 weeks after staged reconstruction using dermal regeneration template (Integra) and release of tendons.

A 28-year-old lady whose face was doused with acid. Release of lip contracture with post auricular full thickness skin graft and scar revision has been performed.

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  • Appearance initial visit.

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  • Post reconstruction.

CHRONIC WOUNDS AND OTHER CONDITIONS

Non healing wounds demand a specialized and supportive approach in a multidisciplinary setting. Conditions addressed include:

HIDRADENTITS

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  • The patient suffered with discharging abscesses for 6 years.

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  • Hidradenitis excised and grafted.

 VASCULAR ANOMALIES

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  • The patient was born with an angiokeratoma over the back of his calf.

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  • Angiogram shows at least 3 arteries supplying the lesion.

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  • Immediate appearance after tumors were excised and the wound skin grafted.

PRESSURE ULCERS

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Pressure sore debrided.

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Wound closed with myocutaneous flap.

A 28 year old male who became paraplegic following a fall from a cliff presented with longstanding ulceration over his hip.

DIABETES

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Initial wound.

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Closure with flexor digitorumbrevismuscle flap.

A 47 Year old male diabetic with ulceration of his heel.

THORACIC SURGERY

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Non healing chest wound.

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Wound closed with latissimusdorsi muscle flap.

74 year old male with non- healing thoracotomy incision.

VASCULITIS

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  • 54 year old man with cutaneous polyarteritis nodosa presented to the burn/plastic service on with extensive lower extremity foul smelling wounds.
  • Appearance after wound debridement and skin grafting.