[Functional reconstruction of multiple severe deformities after extensive deep burn].

To explore new measures for functional reconstruction of multiple severe deformities as a result of extensive deep burn (total burn surface area > or = 90% TBSA, including deep burn > or = 70%TBSA) in late stage. Twelve severe burn patients with above-mentioned deformities were hospitalized in our ward during 1960--2005, the scars resulted from burns were distributed from head to foot with 173 deformities, including 27 scar ulcers. All patients lacked of self-care ability, among them some could not stand.

[Management of a patient with massive and deep burns: early care and reconstruction after convalescence].

Objective: To seek ideal strategies in saving a patient with very extensive deep burns, and measures for functional reconstruction after convalescence.

Methods: A patient with 99. 5% TBSA flame burn injury (III degrees 80%, deep second degree 14.

[Evaluation and surgical treatment for chronic wound of leg and foot].

Objective: To investigate the optimal operation method for the management of various chronic wounds in legs and feet.

Methods: Fifty-one chronic wounds were evaluated according to infection, inflammatory response, and distribution in different areas of the leg and foot. Preoperative treatment was given accordingly, then transposition of skin flap, skin grafting, or amputation was performed.

[Clinical management of deep facial burn].

Objective: To explore the better clinical methods for the management of deep facial burn with optimal quality. Methods Fifty-four patients with deep facial burns were enrolled in the study and were divided into delayed skin grafting group (n=48) and early escharectomy group (n=6). In delayed grafting group, after the erosion of new born granulation tissue to the basal layer with blade holder or with peel or eschar shaving method at 3 postburn weeks (PBW) according to the eschar separation and granulation growth status, the whole face of the patients were divided into 10 regions and were then covered by split thickness auto skin.

[Experimental study and clinical application of composite skin grafting].

Objective: To explore an ideal skin substitute with its appearance and texture similar to normal skin, to repair wounds with full-thickness skin defect.

Methods: Composite skin (CS) in question was composed of allo/xenogeneic acellular dermal matrix (ADM) and razor thin autoskin. One step skin grafting was employed in the experimental study and clinical trial.

[Establishment of rat model of scalding with high pressure steam].

Objective: To establish a rat model of scalding with controllable depth and area by high pressure steam.

Methods: High pressure steam apparatus consisting of an autoclave and a self-made scalding frame was employed in the study. The rats were inflicted with scalding with 0.

[Repair of contracture deformities of the patients with extremely limited donor skin at late postburn stage].

Objective: To explore new methods to repair postburn contracture deformities in patients with extremely limited donor skin.

Methods: Five severely burned patients with extremely limited donor skin but severe deformities were enrolled in the study. The mature and the pliable scarred skin was utilized as the donor site for reconstruction of the postburn deformities.