Valid points in the management of burns on special areas include:

d. Burns of the external ear are commonly complicated by acute suppurative chondritis if topical mafenide acetate is not applied

Because of the thickness and deep appendages of the skin of the central face, relatively deep burns of these areas frequently heal. This is fortunate, because it is difficult to achieve a favorable result with primary excision and grafting of the central face. Management of the burned hand is dictated by the depth of injury. Superficial burns are managed with elevation, topical antimicrobials, and full passive range of motion for each joint twice daily. Deep, partial and fullthickness injuries are best managed by excision and sheet grafting as soon as practical. Hands are immobilized in a functional position for seven days after surgery before passive and active therapy is resumed. Fourth degree hand burns, which involve the underlying extensor mechanism, joint capsules or bone are significantly more difficult management problems and are managed by staged sheet autografting and often benefit from temporary axial Kirschner wire fixation of open and unstable interphalangeal or metacarpophalangeal joints. Burns of the external ear are treated with twice daily cleansing and application of mafenide acetate. Deep burns of the external ear are commonly complicated by acute suppurative chondritis if topical mafenide acetate is not applied. In general, the practice for deep genital burns is to manage these limited surface area injuries with topical therapy for a period of two to three weeks unless the wounds are remarkably deep. Unhealed injuries are debrided and grafted with sheet autograft at this time, with generally excellent cosmetic and functional results.