Comprehensive Management of Deep Second- And Third-Degree Gasoline Burns in a High-Specialty Burn Unit

Burns are traumatic injuries that affect the skin and underlying tissues, potentially causing significant systemic, functional, and aesthetic complications, especially when critical areas such as the face and neck are involved. Among causative agents, flammable liquids like gasoline are associated with rapidly progressing and deep burns. We present the case of a 57-year-old male patient who suffered direct exposure to gasoline, developing superficial second-degree, deep second-degree, and third-degree burns, affecting approximately 6–7% of total body surface area. He was admitted to a high-specialty burn unit, where he received comprehensive management including hemodynamic stabilization through guided fluid resuscitation, multimodal analgesia, hypercaloric and hyperproteic nutritional support, scheduled surgical debridements, and application of Suprathel® as a temporary dermal substitute. During his clinical course, severe facial edema and risk of functional and aesthetic complications were documented; however, the multidisciplinary approach allowed airway preservation, pain control, wound bed protection, and promotion of re-epithelialization. Follow-up included early rehabilitation to maintain cervical mobility and oral opening, as well as evaluation by plastic surgery and ophthalmology to prevent sequelae. This case demonstrates that structured, protocolized comprehensive management with advanced dermal coverage technologies, such as Suprathel®, is an effective strategy to optimize clinical, functional, and aesthetic recovery in patients with deep burns caused by flammable liquids in critical areas, highlighting the importance of specialized units and a multidisciplinary approach in the treatment of complex injuries.