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Suggest Treatment For Burns On The Hand In A Child

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Posted on Tue, 28 Feb 2017
Question: Hi Sir,

Actually pressure cooker water felt on my kid (age of 8)hand 3 years ago and we met several doctors and used Hexaulic and other silicon gel sheets for some time but still we can see thick skin on my kid hand.

please find the attachment pictures of the scar and suggest for us best treatment.

Thank you
XXXX
doctor
Answered by Dr. Vaishalee Punj (47 minutes later)
Brief Answer:
Please attach photo

Detailed Answer:
Hi
Thanks for your query.

Please upload the photo so that I am better able to help. You can also send it at YYYY@YYYY and address it to my name: Dr Vaishalee Punj.

Dr Vaishalee
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Vaishalee Punj (12 minutes later)
thank you for the update Medan, please find the attached pictures and suggest
doctor
Answered by Dr. Vaishalee Punj (7 minutes later)
Brief Answer:
Still no photos

Detailed Answer:
Hi again

There are no photos attached. Please upload again. The button is on right hand side. Better to send it at the email id: YYYY@YYYY and address it to my name: Dr Vaishalee Punj

Dr Vaishalee
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vaishalee Punj (36 minutes later)
Hi Medan,
I have sent the pictures to below email, please check and help.
thanks
XXXX
doctor
Answered by Dr. Vaishalee Punj (36 minutes later)
Brief Answer:
Seen the images

Detailed Answer:
Hi again

Fortunately the area of skin involved is less, is not causing any functional restriction of the arm. There is minimal contracture at the wrist, some pigmentation is there.

Since the damage is not much, I think it is best to leave it alone.

In case there is contracture at hand movement, a surgeon can release it specifically.
For hyperpigmentation, laser technology may be somewhat effective.
Plastic surgery for the reconstruction maybe undertaken but I feel that the natural skin is quite healthy. Skin grafting may sometimes not heal properly.

Medicines will not help much.
I feel your child can just start living his life from here and not worry much about scars.

Hope I clarify it. If you have any doubts please let me know.
Dr Vaishalee
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vaishalee Punj (44 minutes later)
thank you Medan, may I know the name of the laser treatment which will effective to reduce the scar .
Thank you
XXXX
doctor
Answered by Dr. Vaishalee Punj (14 minutes later)
Brief Answer:
Pulsed XXXXXXX laser

Detailed Answer:
Hi

The dermatologists can better guide you with this because even laser therapy is known to have side effects. Pulsed XXXXXXX laser is considered safer and can be tried after consultation with your doctor (surgeon/dermatologist).
CO2 laser with specific parameters like wavelength 10 600 nm, power 10-15 W, radiation time 500microseconds has also been tried.

Dr Vaishalee
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Vaishalee Punj

General & Family Physician

Practicing since :2003

Answered : 3262 Questions

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Suggest Treatment For Burns On The Hand In A Child

Brief Answer: Please attach photo Detailed Answer: Hi Thanks for your query. Please upload the photo so that I am better able to help. You can also send it at YYYY@YYYY and address it to my name: Dr Vaishalee Punj. Dr Vaishalee