Surgical and topical management of a third-degree burn. A case report

Background: To describe a case report of third degree burn and treatment with surgical grooming, escharotomy, antimicrobial silver dressing and skin graft. Introduction: Full thickness burns extend through and destroy all layers of the dermis and often injure the underlying subcutaneous tissue. Burn eschar, the dead and denatured dermis, is usually intact. The eschar can compromise the viability of a limb or torso if circumferential. Case description: 65 year old female with third degree burns affecting 3% of burned body surface on lower extremities, required escharotomy, antimicrobial silver with dressing and graft placement. Conclusion: The management of full-thickness third-degree burns should be treated promptly to prevent complications. Surgical management with escharotomy is indicated for burns where the full thickness of the skin is affected due to the risk of infection from tissue devitalization. The use of skin grafting improves outcomes and quality of life for burn patients. Keywords: Third degree burn, escharotomy, antimicrobial, dressing, silver, graft. Infected sternal wounds are one of the serious complications in patients undergoing cardiothoracic surgery, with a significant impact on morbidity, length of hospital stay, and mortality. Their management and treatment represent a challenge for the surgical team, as immediate and adequate coverage of an unstable and devascularized wound is required to restore the integrity of the chest wall and prevent deep infections. In this context, the pectoralis major flap has proven to be a versatile, safe, and effective option, widely used in head, neck, and anterior thoracic reconstruction.