Role of Dermabrasion Assisted Tangential Excision and Grafting in Perineal Burns

Abstract

Burn wound management requires early and effective removal of devitalized tissue to promote healing, prevent infection, and improve functional and cosmetic outcomes. Dermabrasion, a mechanical method of controlled superficial tissue removal, is a well-established technique in plastic surgery but remains relatively underutilized in burn care. This article evaluates the role of dermabrasion-assisted tangential excision followed by grafting in the management of scald burns, particularly in challenging anatomical regions. We present a clinical case of a 2-year-old female with 15% total body surface area superficial and deep second-degree scald burns over the gluteal region. The patient underwent dermabrasion-assisted tangential excision using a high-speed dermabrader, followed by full-thickness skin allografting. The intervention resulted in early wound coverage, satisfactory graft takes, reduced risk of infection, accelerated healing, shorter hospital stays, and good patient compliance.