ABSTRACT
Epidermal and superficial partial-thickness burns are treated non-operatively and will heal provided resuscitation was adequate and burn wound infection was either prevented or treated effectively. The skin edges are sutured to the excised bed to limit movement and control bleeding, and the excised area is covered with expanded split-thickness skin grafts. Donor skin may be harvested from any unburned area, although the face, hands, perineum, and cervical areas are unsuitable. Dermal substitutes function primarily as biodegradable, 3D scaffolds for dermal regeneration in full-thickness or deep-dermal burns. The volar surface of the hand and sole of the foot consists of thick specialized glabrous skin. Burns to the perineum and genitalia are usually treated conservatively. Full-thickness burns are rare, necessitating a practical approach while awaiting spontaneous healing. In a modern pediatric burn care setting, a burn size of approximately 60% total body surface area is a crucial threshold for post-burn morbidity and mortality.
