Abstract
Necrosis in burns has a major impact on dermal regeneration, functional, and esthetic results. Thus patient’s satisfaction and quality of life is determined by the timely regeneration process of all dermal layers. Pathophysiological changes after burn trauma lead to different perfusion patterns (“zones”). Inflammation has been described having a key role in maintaining reduced subdermal perfusion with increased risk of burn necrosis. In addition, various key regulators of inflammation have been identified to play a critical role in activating burn necrosis. This chapter analyzes the impact of necrosis in acute burns and gives an overview of the currently available literature of pathophysiology, apoptosis, and inflammation in burns resulting in primary, secondary, or tertiary burn necrosis. Local therapeutic options are discussed, but it is not intended to be exhaustive with regard to systemic reactions and systemic therapy in case of burn necrosis. In summary, there is increasing evidence of pathophysiology of necrosis in burns in animal models, but there is still a lack of transfer to clinical application.
The Updated original online version for this book can be found at DOI 10.1007/978-3-7091-1241-0
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Erratum to:
L. Téot et al. (eds.), Skin Necrosis,
DOI 10.1007/978-3-7091-1241-0, © Springer-Verlag Wien 2015
The original version of this book was revised. Missing chapter 47 has been added.
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© 2015 Springer-Verlag Wien
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Téot, L., Meaume, S., Akita, S., Ennis, W.J., del Marmol, V. (2015). Erratum to: Skin Necrosis. In: Téot, L., Meaume, S., Akita, S., Ennis, W.J., del Marmol, V. (eds) Skin Necrosis. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1241-0_48
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DOI: https://doi.org/10.1007/978-3-7091-1241-0_48
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-1240-3
Online ISBN: 978-3-7091-1241-0
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