Burning Question about an Old Wound

December 31, 2006

Three years ago, my patient sustained a burn from a hot greasespill. Biopsy has shown that the nubby areas (Figure)are live skin; however, I am unsure of how to treat thewound.

Three years ago, my patient sustained a burn from a hot greasespill. Biopsy has shown that the nubby areas (Figure)are live skin; however, I am unsure of how to treat thewound.
-- Judy LaJoie, RN
   Brooklyn, NY
The area appears to be ahypertrophic scar. If a biopsyis negative for malignancy,I would suggest excision anda split-thickness skin graft followedby a pressure garment to preventhypertrophic scar formation.-- Sidney Miller, MD
   Director, Burn Center
   Miami Valley Hospital
   Dayton, Ohio