Reply: Treatment of hydrofluoric acid burns of the fingers

Published:January 13, 2016DOI:
      We would like express our appreciation to Dr. Zhang and coauthors for their comments on our recently-published article entitled “Early Surgical Treatment by Free Flap Reconstruction of Hydrofluoric Acid Burn Injury”.
      • Kim D.-Y.
      • Kim D.-W.
      • Dhong E.-S.
      Early surgical treatment by free flap reconstruction of hydrofluoric acid burn injury.
      We are grateful to them for bringing further attention to the appropriate treatment of hydrofluoric acid (HFA) burn injuries. We thank them for recognizing the importance of early surgical intervention and the suitable restoration of HFA burn wounds as introduced in our article. We agree with them that risks and benefits should be carefully weighed in the management of HFA burn injury. We welcome this opportunity to further discuss this interesting case.
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        • Kim D.-Y.
        • Kim D.-W.
        • Dhong E.-S.
        Early surgical treatment by free flap reconstruction of hydrofluoric acid burn injury.
        J Plast Reconstr Aesthet Surg. 2015; 68: 1477-1478
        • Stuke L.E.
        • Arnoldo B.D.
        • Hunt J.L.
        • Purdue G.F.
        Hydrofluoric acid burns: a 15-year experience.
        J Burn Care Res. 2008; 29: 893-896
        • Wang X.
        • Zhang Y.
        • Ni L.
        • et al.
        A review of treatment strategies for hydrofluoric acid burns: current status and future prospects.
        Burns. 2014; 40: 1-11
        • Strausburg M.
        • Travers J.
        • Mousdicas N.
        Hydrofluoric acid exposure: a case report and review on the clinical presentation and management.
        Dermatitis. 2012; 23: 231-236
        • Kirkpatrick J.J.
        • Enion D.S.
        • Burd D.A.
        Hydrofluoric acid burns: a review.
        Burns. 1995; 21: 483-493
        • Zhang Y.
        • Ni L.
        • Wang X.
        • et al.
        Clinical arterial infusion of calcium gluconate: the preferred method for treating hydrofluoric acid burns of distal human limbs.
        Int J Occup Med Environ Health. 2014; 27: 104-113
        • Zhang Y.
        • Wang X.
        • Ye C.
        • et al.
        The clinical effectiveness of the intravenous infusion of calcium gluconate for treatment of hydrofluoric acid burn of distal limbs.
        Burns. 2014; 40: e26-e30
        • Graudins a
        • Burns M.J.
        • Aaron C.K.
        Regional intravenous infusion of calcium gluconate for hydrofluoric acid burns of the upper extremity.
        Ann Emerg Med. 1997 Nov; 30: 604-607
        • Vance M.V.
        • Curry S.C.
        • Kunkel D.B.
        • Ryan P.J.
        • Ruggeri S.B.
        Digital hydrofluoric acid burns: treatment with intraarterial calcium infusion.
        Ann Emerg Med. 1986; 15: 890-896
        • Buchanan P.J.
        • Kung T.A.
        • Cederna P.S.
        Evidence-based medicine.
        Plast Reconstr Surg. 2014; 134: 1391-1404
        • Hansen S.L.
        • Young D.M.
        • Lang P.
        • Sbitany H.
        Flap classification and applications.
        in: Neligan P.C. Plastic surgery. 3rd ed. Elesevier, Philadelphia2012: 536
        • Gottlieb L.J.
        • Krieger L.M.
        From the reconstructive ladder to the reconstructive elevator.
        Plast Reconstr Surg. 1994 Jun; 93: 1503-1504
        • Erba P.
        • Ogawa R.
        • Vyas R.
        • Orgill D.P.
        The reconstructive matrix: a new paradigm in reconstructive plastic surgery.
        Plast Reconstr Surg. 2010 Aug; 126: 492-498