A 54-year-old female was admitted with 7% TBSA burn to the left arm and hand following a cooking-related flame injury. She underwent daily assessment for 5 days, after which time it was determined that while certain areas of the burn were likely to heal, the majority of the burn required skin graft, and the study was concluded. The perfusion and photographic images are shown in Figure 1.
Area 1 was an area determined to require grafting, while area 2 was judged likely to heal by clinical visual assessment. The difference in perfusion of areas 1 and 2 is evident on the first day post-burn, with area 2 having almost double the perfusion of area 1. This magnitude of difference remained steady throughout the study period, despite the absolute values varying over time. Both areas were excised and grafted at operation to provide uniformity and prevent hypertrophic scarring along the wound edges.