Burns : journal of the International Society for Burn Injuries
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Scar pigmentation changes throughout its maturation process and it is often used as one of the indicators for scar maturation, yet it is often rated subjectively. The purpose of this study was to investigate the application of a commercial spectrocolorimeter to produce a reliable measurement on scar pigmentation. Commission Internationale de l'Eclairage (CIE) model of color has been adopted in this study for measurement of scar pigmentation 24 patients with hypertrophic scars at different stages of maturation were selected for the study, were inspected by two therapists using the Vancouver scar scale (VSS) and then using spectrocolorimeter for inter-rater reliability. ⋯ We also found a positive relationship between VSS scores and the spectrocolorimeter readings. The spectrocolorimeter is found to be a reliable instrument to quantify scar pigmentation and to differentiate normal skin and scar tissue. With further studies, the constructs of scar properties could further be explored using this spectrocolorimeter.
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Review Case Reports
Temporary henna tattooing--a risky procedure. Case report and literature review.
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Case Reports
Split thickness skin grafting for recreation of the scrotum following Fournier's gangrene.
Fournier's gangrene is an infection of the genitals and perineum that is treated with extensive soft tissue debridement, often leading to loss of scrotal skin. Multiple options for reconstruction of the scrotum are available. ⋯ The discussion includes a comparison of STSG with other treatment options. We conclude that STSG are a safe, technically easy treatment option with satisfactory cosmetic and functional results.
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To investigate the role of the Small GTPase Rho and endothelial cytoskeleton in the increased vascular permeability of rat skin after scalding. ⋯ Burn leads to dermal venular permeability increase with endothelial cytoskeleton depolymerization and disruption. Rho signal transduction pathway is involved in these responses.
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Cell viability assessment in allograft skin is an essential step to ensure a supply of good quality allograft skin for clinical repair of wounds. It is widely recognised that 'take' of allografts is strongly influenced grafted by tissue viability. The aim of this study was to set-up storage protocols that maintain high viability of the allograft after harvest, treatment and storage. ⋯ The average PVI of thawed skin was 54% of the fresh sample. This result demonstrates that the viability of cryopreserved skin is comparable to the viability of fresh skin stored at 4 degrees C for 4 days. The PVI of thawed skin samples decreased dramatically within 24h, and had reached 0% within 6 days.