It is a surgical procedure which involves the placement of a piece of healthy skin in areas where the skin is damaged. It is usually done in an operating room under local or general anesthesia depending on the size of the graft.
Skin grafts can be classified into:
The lone survivor of a small-airplane crash in southeast Kansas recently underwent skin graft surgery to treat third degree burns across 28 percent of her body. Hannah Luce of Garden Valley, Texas, a recent graduate of Oral Roberts University, was flying with four others to a Christian youth rally in Iowa when their twin-engine Cessna crashed northwest of Chanute, Kansas.
All the other people, including the pilot, died in the crash. Hannah Luce is the daughter of Ron Luce, an Oral Roberts trustee and founder of Teen Mania Ministries, which was sponsoring the rally in Council Bluffs, Iowa. She was treated at the University of Kansas Hospital in Kansas City, Kansas. A spokesperson there said that Hannah was in serious condition but was expected to make a full recovery.
“She went into her first surgery for skin grafts on burns she suffered on her left leg, her arms and her hands,” said a spokesperson for the family. “The doctors are saying it’s a miracle Hannah didn’t suffer more internal trauma.” Hannah was off a respirator and breathing on her own several days after the crash, and was awake and answering questions before surgery.
Zane Wetzel spent 47 days in a coma, and awoke to the realization that he was involved in a life-changing accident. But with the love of his wife and unwavering faith and optimism, he and his wife have gotten to a place where they can actually help other burn victims too.
It has been a little more than two years since the 27-year-old apprentice lineman for Maine Public Service Co. in Presque Isle, Maine suffered a flash burn to 50 percent of his body while working at an electrical substation. His chest, back, arm and neck suffered third degree burns in the accident.
Wetzel was standing on a scissor lift with several other co-workers when a charge of electricity arced and touched the corner of the lift. The electricity traveled to the ground and bounced back, burning him. Safety equipment prevented Wetzel from being fatally electrocuted. And no one else around him was injured.
A recent article from the Institute for NanoBioTechnology discussed the developments that Johns Hopkins researchers have made in creating a jelly-like material for burn wound treatment which, in early experiments on skin damaged by severe burns, seemed to regenerate healthy tissue with no sign of the previous burn scars.
In a mid-December report from the National Academy of Sciences, the researchers reported their promising results from tests using mouse tissue. The new treatment has not yet been tested on human patients, but the researchers say that the procedure, which promotes the formation of new blood vessels and skin, could lead to greatly improved healing for victims of third degree burns.
The treatment involved a simple wound dressing that included a specially designed hydrogel: a water-based, three-dimensional framework of polymers. This material was developed by researchers at Johns Hopkins’ Whiting School of Engineering, working with clinicians at the Johns Hopkins Bayview Medical Center Burn Center and the School of Medicine’s Department of Pathology.
In late February, two Prince George’s County, MD firefighters were critically injured when a wind-fueled fireball blew through a burning house. They will survive, but the two members of the Bladensburg Volunteer Fire Department will face long, painful recoveries.
Ethan Sorrell, 21, sustained respiratory burns “through his esophagus and down to his lungs,” and Kevin O’Toole, 22, suffered second and third degree burns over 40 percent of his body when a basement fire suddenly turned a small house into something resembling a blast furnace.
O’Toole underwent skin graft surgery shortly after, and will be in the burn unit at the Washington Hospital Center for six weeks. He then faces six months of rehabilitation beyond that.
In late February, a man suffered third degree burns from an unusual incident involving an overheated laptop computer. His burns were so severe that he had to be airlifted to a top burn treatment center for further care, including skin graft procedures to replace badly burned skin.
The 31-year-old man suffered burns on 60 percent of his body. The cause of his injuries was a fire that started in the bedroom from an overheated laptop computer which was left on while he took a shower. The victim was injured because he made a careless decision: He placed his laptop computer on the mattress of his bed before going into the shower. Laptop computers get hot when they are on, and their cooling and ventilation areas are near the bottom of the unit. So laptops must always be placed on a hard surface so that they can take in air to cool them off. In this instance, the heat from the computer was trapped, and eventually set the mattress on fire.
When the victim realized that the mattress and the bed were on fire, he tried to put it out with the help of his wife. Unfortunately for him, in his attempt to extinguish the fire, he suffered severe burns on his hands, arms, and legs. The fire was finally extinguished by a team of firemen who rushed to the scene after receiving a distress call from someone outside the home.
A week ago, we wrote about a 70-year-old woman who fought through physical and psychological trauma she suffered from receiving third degree burns–and fought so well that she was able to walk again, and do many things on her own, even tough doctors never thought it would be possible.
Well, we have an even more unbelievable burn survivor story to share with you. Last month in the Morning Sun newspaper serving central Michigan, a writer chronicled the experience of Evelyn Clark, a 79-year-old who was burned in a gasoline fire in July 2011 and nearly died a few times since then. But Evelyn has recovered, and she spent what she calls “an extra special” Thanksgiving with her husband Jim, plus her children and her grandchildren at her home in Weidman, Michigan.
After being burned outside her home while pouring just a bit of gasoline in a barrel to start a controlled fire, Evelyn was rushed to at Spectrum Health Butterworth Campus in Grand Rapids. She suffered third degree burns on nearly 30 percent of her body, and then she developed pneumonia and another life-threatening condition while she was undergoing more than one skin graft.
In Maple Grove, Minnesota, a 15-year-old boy is spending a few days in a burn unit at Hennepin County Medical Center after a flash explosion in a science class that burned him and three other Maple Grove Junior High School students. The three others were treated and released, but the boy, Dane Neuberger, is still in the hospital suffering from second-degree burns on his face and neck.
Neuberger said he was simply taking notes in class when suddenly, and from seemingly out of nowhere, he was on fire. Neuberger was sitting in the front row of class when his teacher asked the ninth-graders to turn their desks toward a lab table while he conducted experiments. They were learning about the flammable substance methanol. But the flame that was supposed to stay in the bottle and consume the methanol did not do so, the container exploded.
The flame from the container came in contact with some spilled methanol that was left on a lab table, which caught fire. This is the fire that hit Neuberger in the face, neck and hand. It also caught his shirt, which he ripped off while the teacher rushed to help him.
There is an uplifting story on CNN.com today about a burn victim who is not only is healing physically from his burns, but also psychologically. Here’s the proof: The boy, Youssif, was given a “certificate of citizenship” recently, which is an award for being exceptionally nice to a fellow classmate in school. Another boy got hurt, and Youssif helped the boy with his gashed arm by applying an ice pack and helping to stop the bleeding.
Youssif is proud of his award–and his family, his doctors, and his entire support system should all be proud as well. Four years ago, Youssif suffered third degree burns to his face–much of it melted, actually–during a battle among local sects in Iraq. But after dozens of surgeries in the United States, doctors have been able to reverse a lot of the horrible burn scars. Not only that, but Youssif is no longer the sad, quiet child he was in the few years after his burn injury.
Through extensive counseling with his family, he is now able to cope with the facial scars he still has from the attack, and he also has an upbeat attitude that’s hard to believe. He says his looks no longer bother him, “because none of my other friends make fun of me,” he says in English. His mother is so happy to see her boy like he was before he was burned. “His personality has changed so much,” she told CNN.com. “The way he interacts with people, and everything else. It began as soon as he started school and realized that the children don’t care about his appearance. It allowed him to have a normal life.”
Here is a research finding that could improve the recovery experience for pediatric patients who have suffered severe burns.
In mid-October, a study was released by researchers at Children’s Mercy Hospitals and Clinics in Kansas City, Missouri that says that fewer treatments are just as effective as the present standard of care given to children suffering from burns. The research was presented at the American Academy of Pediatrics National Conference and Exhibition in Boston.
“Given the risk of infection, dressings for burn patients need to be changed once or twice a day. This experience can be traumatic, especially for a young child,” said Daniel Ostlie, M.D., director, Surgical Critical Care at Children’s Mercy and lead investigator of the study. “If we can reduce this trauma just the slightest bit by eliminating one of the topical applications – with no major implications for outcome – we can make a significant improvement in the patient recovery experience.”
Burn Injury Resource Center