Scientific paper| Volume 157, ISSUE 6, P541-543, June 1989

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Heated laser Doppler flow measurements to determine depth of burn injury

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      The ability to predict whether burn wounds will heal spontaneously or will require skin grafting is important because of increasing utilization of primary excision and grafting. This study prospectively evaluated the ability of heated laser Doppler flow measurements obtained in the first 48 hours after burn injury to predict whether burn wounds would heal within 3 weeks. Further, the severity of scarring at 3 months was compared with the initial measurements. The measurements predicted healing with 100 percent accuracy and failure to heal with 93 percent accuracy. There was also a significant correlation between initial flow measurements and severity of scarring at 3 months. We conclude that heated laser Doppler flow measurements performed early after burn injury are useful in predicting whether healing is likely to occur, as well as the quality of late scar formation; therefore, the method is useful in selecting patients for primary excision and grafting of burn wounds.
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        • Heimbach DM
        • Afromowitz MA
        • Engray LH
        • et al.
        Burn depth estimation: man or machine.
        J Trauma. 1984; 24: 373-378
        • Kaufman T
        • Hurwitly DJ
        • Heggers JP
        The india ink injection technique to assess the depth of experimental burn wounds.
        Burns Incl Therm Inj. 1984; 10: 405-408
        • Cantrell Jr, JH
        Can ultrasound assist an experienced surgeon in estimating burn depth?.
        J Trauma. 1984; 24: 864-870
        • Black KS
        • Hewitt CW
        • Miller DM
        • et al.
        Burn depth evaluation with Flowmetry. Is it really definitive?.
        J Burn Care Rehab. 1986; 7: 313-317
        • Formosa PJ
        • Greilich DM
        • Soliman MH
        • et al.
        Laser Doppler velocimetry as a determinator of burn depth.
        in: 3rd ed. Surg Forum. 36. 1985: 113-114
        • Alsfjorn B
        • Michaels J
        • Sorensen B
        Laser Doppler flowmetry measurements of superficial, deep, deep dermal, and subdermal burns.
        Scand J Plast Reconstruc Surg. 1984; 18: 75-79
        • Bonner RF
        • Nossal R
        Model for laser Doppler measurements of blood flow in tissue.
        Appl Optics. 1981; 20: 2097-2107
        • Winsor T
        • Haumschild DJ
        • Winsor DW
        • et al.
        Clinical application of laser Doppler flowmetry for measurement of cutaneous circulation in health and disease.
        Angiology. 1987; 38: 727-736
        • Waxman K
        • Formosa P
        • Soliman H
        • et al.
        Laser Doppler velocimetry in critically ill patients.
        Crit Care Med. 1987; 15: 780-783