Dong-Chul Kim.MD.

Dr. Dong-Chul Kim's Aesthetic & Burn Plastic Clinic,
Institute of Plastic & Burn Surgery, Kangnam e Hospital

It is well known that the moist wound healing offers more proper wound condition, and more rapid epithelialization of skin than the dry wound healing. For the managements of acute burn wounds, also moist wound environments are reported for rapid repair & regeneration of skin. The moist exposure burn therapy, and various moist wound healing products were introduced. Among them, a ointment for moist exposure burn wound dressings is MEBO (moist exposure burn ointment), which had been developed at the Beijing Guangming Chinese Medicine Institute for burns, wounds & ulcers, Beijing, China. It's composed of B-sitosterol 5 mg%, sesame oil 15 mg%, yellow paraffin 80mg% etc.
I have experienced 8 cases of acute burn patient, who was managed by MEBT (moist exposure burn therapy) using MEBO ). The age range of patients were 17 to 62 year. The range of extent of burn were ranged from 1 % to 45%. The type of burn injuries were following that: 5 cases of scalding burns, 2 flame burns, and 1 electrical burn. The depths of burns were 2 superficial second degree burn, 2 mid dermal burns, and 3 mid to deep dermal burns, and 1 deep dermal to 3rd degree burns. Among them, 1 case of superficial second degree & all mid dermal burns, and 1 case of mid to deep dermal burn completely healed by burn dressing only. As a complication, at postburn 3 days, erythema & induration of surrounding normal skin of burn wound was noticed in 1 case of superficial second degree burn. And there was high spiking fever and marked leukopenia and thrombocytopenia were developed at post burn 4th day in a case of deep dermal to 3rd degree burn, 45%. These complicated cases were managed by Silvadene with closed burn dessings. On serial burn wound cultures, there were no growth in 6 cases. There were Aeromonas salmonicicda in 1 case, MRSA wound infection in 1 case.
It was noticeable markedly decreased pain of burn wound, and easy burn dressing changes. Also liquefied eschars were very easily removed day by day from 5 - 6th postburn days. In these series, the healing period of MEBT using MEBO ) were ranged by 10 days to 26 days. After follow ups of 2 weeks to 6 months, the healed burn area of MEBT using MEBO are revealed as relatively good in cosmetics & functions.