Postburn

Postburn refers to the period following a burn injury during which healing, rehabilitation, and scar formation occur. It encompasses the initial wound healing phase, the subacute period of scar remodeling, and the long-term phase when scars continue to mature over months to years.

During the postburn course, patients may experience hypertrophic scars, contractures that limit range of motion, pigmentary changes, itching, altered sensation, and varying levels of pain. The likelihood and type of sequelae depend on factors such as burn depth and surface area, anatomical location, patient age and health, and the presence of infection or delay in wound closure.

Management of the postburn period focuses on promoting healing, preventing complications, and optimizing function and appearance. This typically includes appropriate wound care and infection prevention, may involve surgical interventions such as skin grafts or dermal substitutes for deep burns, and relies on scar management strategies like silicone gel sheets, pressure garments, massage, and moisturizers. Rehabilitation with physical therapy to preserve or restore range of motion, strength, and function is important, as is occupational therapy when necessary. Pain and pruritus control, sun protection and sunscreen to minimize pigment changes, and psychological support are commonly part of comprehensive care.

Prognosis varies by injury severity and individual response; scars generally evolve and stabilize over 12 to 24 months, but some patients may require ongoing rehabilitation or additional procedures to address functional or cosmetic concerns. Postburn sequelae can have lasting physical and psychosocial impacts, underscoring the importance of multidisciplinary follow-up.