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At the University of Texas Burn Center, Galveston, therapy for the severely burned patient is directed toward the earliest possible closing of the wound, coupled with a program of physical and occupational therapy often begun on the day of admission.
S. R. Lewis, MD, professor of surgery, and Duane Larson, MD, assistant professor of surgery, outlined their therapy program to physicians attending the 27th annual Congress on Occupational Health at Houston.
Prevention of serious complications and a satisfactory recovery depend upon an aggressive approach to early wound closure, according to Larson. "The first grafting procedure should be performed before the 30th day. Too frequently, one waits to graft until the patient is in better condition, or until the recipient has improved in appearance. In general, the patient's condition does not improve until skin is applied."
In electrical burns about the mouth, early surgical excision of the wound is not recommended,
Early Closing of Burn Wounds Stressed in Therapy Program. JAMA. 1964;190(4):35. doi:10.1001/jama.1964.03070170160048