Ultrasonographic findings of re-epithelialized skin after partial-thickness burns

Author:

Kim Jong Dae1,Oh Suk Joon1,Kim Sun Gyu1,Ahn Song Vogue2,Jang Yu Jin3,Yang Ban Seok1,Jeong Ji Yun1,Kim Kwang Jo4

Affiliation:

1. Department of Burn Reconstructive Surgery Bestian Seoul Hospital Dogok-ro 429, Gangnam-gu Seoul, Republic of Korea

2. Department of Health Convergence Ewha Womans University Ewhayeodae-gil 52, Seodaemun-gu Seoul, Republic of Korea

3. Department of Radiology Bestian Seoul Hospital Dogok-ro 429, Gangnam-gu Seoul, Republic of Korea

4. Department of General Surgery Bestian Seoul Hospital Seoul, Republic of Korea

Abstract

Abstract Background This study aimed to investigate the difference between ultrasonographic findings of normal skin and those of re-epithelialized skin after partial-thickness burns and to evaluate the relationship between these findings and clinical outcomes. Methods This study retrospectively analysed the ultrasound images of re-epithelialized skin after partial-thickness burns and contralateral normal skin from January 2016 to December 2016. A total of 155 lesions from 148 patients were analysed with ultrasound images, and healing time was documented. The scar status of each lesion was evaluated through medical records and photographs. We analysed the difference in ultrasonographic findings between normal skin and re-epithelialized skin after partial-thickness burns and statistically analysed the relationship between healing time, scar status and ultrasonographic findings. Results The re-epithelialized skin after partial-thickness burns was significantly thicker than the contralateral normal skin, and the echogenicity was significantly lower. The ultrasound images of the re-epithelialized skin after partial-thickness burns showed the characteristic findings of low-echogenic bands (LEB), and the proportion of LEB thickness is strongly correlated with healing time. In the multivariate analysis of scar status, only the proportion of LEB thickness was statistically significant. Conclusion In this study, we found that there were ultrasonographic differences between re-epithelialized skin after partial-thickness burns and normal skin and that an LEB of varying thickness was formed after re-epithelialization. The thickness of the LEB in re-epithelialized skin after partial-thickness burns increased with healing time and was related to scar status.

Publisher

Oxford University Press (OUP)

Subject

Critical Care and Intensive Care Medicine,Dermatology,Biomedical Engineering,Emergency Medicine,Immunology and Allergy,Surgery

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