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Journal of the Korean Academy of Rehabilitation Medicine 2007;31(5):582-589.
Scar Quality and Hand Function after Moist Exposed Burn Ointment and Skin Graft Treatment in Full Thickness Hand Burn.
Shin, Ji Cheol , Seo, Cheong Hoon , Jang, Ki Un , Jung, Ki Yang
1Department of Rehabilitation Medicine, Yonsei University College of Medicine, Korea.
2Department of Rehabilitation Medicine, Hallym University College of Medicine, Korea. s9036@hanmail.net
3Department of Dermatology, Yonsei University College of Medicine, Korea.
전층 수부 화상에서 MEBO 치료와 피부 이식 후 흉터 상태 및 기능의 비교
신지철, 서정훈1, 장기언1, 정기양2
연세대학교 의과대학 재활의학교실, 1한림대학교 의과대학 재활의학교실, 2연세대학교 의과대학 피부과학교실
Abstract
Objective
To compare the scar formation and hand function between moist exposed burn ointment (MEBO) treatment and conventional skin graft in full thickness hand burns.
Method
Prospective comparative study was done between MEBO treatment group and conventional skin graft group. Full thickness burn wound scars on dorsal hand were compared. Scars were assessed with the Vancouver scar scale and other objective measurement tools such as pigmentation, erythema, pliability, transepideramal water loss, thickness and perfusion. Hand function was evaluated by the Jebsen hand function test and Michigan Hand Function Questionnaire.
Results
Vancouver Scar scale showed significantly better scores in the MEBO group than in the conventional skin graft group. Scar thickness and transepidermal water loss were greater in the MEBO treatment group whereas pigmentation value was greater in the conventional skin graft group. There was no significant difference in the hand function between the two groups.
Conclusion
MEBO application could be an alternative treatment to conventional skin graft treatment in full thickness hand burn wounds. In the future, more studies are yet to come how MEBO treatment may affect the skin condition of the burn injuries. (J Korean Acad Rehab Med 2007; 31: 582-589)
Key Words: Burn rehabilitation, Hand function, Scar evaluation, MEBO
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