Display options
Share it on

Ann Burns Fire Disasters. 2009 Sep 30;22(3):131-7.

Comparative study between sodium carboxymethyl-cellulose silver, moist exposed burn ointment, and saline-soaked dressing for treatment of facial burns.

Annals of burns and fire disasters

A Hindy

Affiliations

  1. Department of Plastic and Reconstructive Surgery, Tanta University Hospital, Egypt.

PMID: 21991168 PMCID: PMC3188148

Abstract

Facial burns vary from relatively minor insults to severe debilitating injuries. Sustaining a burn injury is often a psychological trauma for the victim and is especially menacing when the face and neck are involved. This study was carried out on 60 patients with superficial dermal burns to the face admitted to the Burn Unit of Tanta University Hospital, Egypt, from September 2007 to July 2008. The patients were allocated randomly to one of three groups, each of which was treated with one of the following: sodium carboxymethyl-cellulose silver (Aquacel Ag®), MEBO® (moist exposed burn ointment), or saline-soaked dressing. We found that patients managed with MEBO® had less pain and itching and easier movement than those managed with Aquacel Ag®, while the Aquacel Ag® group required a shorter duration of time for healing, without any bad odour, than the MEBO® group. Quality of healing and patient satisfaction were nearly equal as regards MEBO® and Aquacel Ag®. Saline-soaked dressings were least satisfactory - they caused the most pain and itching, limited the patients' movements the most, needed the longest time for healing, and gave patients the least satisfaction. It was concluded that MEBO® was an excellent choice for management of facial burns owing to its soothing effect, ease of patient movement, easy handling, and good healing properties. Aquacel Ag® was found to be comparable to MEBO® and is specially recommended when frequent dressings cause difficulties for the patients or when they cannot accept a bad odour; saline-soaked dressings are not recommended for the management of facial burns because of the pain they cause, itching, limitation of patient movement, and delayed healing.

Keywords: BURN OINTMENT; CARBOXYMETHYL-CELLULOSE; COMPARATIVE; DRESSING; FACIAL BURNS; MOIST EXPOSED; SALINE-SOAKED; SILVER; SODIUM; STUDY; TREATMENT

References

  1. J Burn Care Rehabil. 1988 May-Jun;9(3):305-8 - PubMed
  2. MedGenMed. 2001 Mar 06;3(2):3 - PubMed
  3. J Burn Care Res. 2006 May-Jun;27(3):298-309 - PubMed
  4. Dermatol Surg. 2003 Jan;29(1):14-20 - PubMed
  5. Am J Clin Dermatol. 2002;3(8):529-34 - PubMed
  6. Ann Acad Med Singap. 2000 Jan;29(1):7-10 - PubMed
  7. J Burn Care Rehabil. 2004 Jan-Feb;25(1):89-97 - PubMed
  8. Burns. 2001 Mar;27(2):167-73 - PubMed
  9. J Wound Care. 2000 Jan;9(1):32-4 - PubMed
  10. Ann Burns Fire Disasters. 2007 Sep 30;20(3):144-8 - PubMed
  11. Burns. 1998 Nov;24(7):646-8 - PubMed
  12. Arch Dermatol. 1986 Jan;122(1):52-7 - PubMed
  13. Planta Med. 1980 Jun;39(2):157-63 - PubMed

Publication Types