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Since 1996, a new three-degree classification has been adopted for determination of the depth of lesions caused by the thermal agent, published in Bulletin N(o) 7, XLII, 1996 of the Ministry of Health. The present report is aimed at facilitating surgeons in its practical implementation by making a comparative assessment of the various numerical classifications, employed both in this country and abroad, and adapting them to the three groups of nonnumerical classifications. In the field of scientific communication between doctors from different countries, the numerical classifications give rise to confusion and on account of that utilization of the verbal classification for evaluating the deepness of a burn lesion is strongly recommended.

History and clinical examination remain the mainstay in assessing burn depth. There is no satisfactory objective test for burn depth. Silicone oil in loose bags is the dressing of choice for the conservative management of superficial burns. Deep dermal burns of the dorsum of the hand should be shaved and grafted within the first 5 days. Full-thickness burns of the dorsum without exposure of deep structures should be excised and grafted within the first 5 days. K-wires may be used to stabilize metacarpophalangeal and PIP joints to prevent secondary deformity while grafts heal, but should not be left longer than 6 weeks. Flaps used to repair full-thickness burns with exposure of deep structures should be planned to permit elevation and movement. Primary reconstruction of extensor mechanisms should be performed at the time of flap cover.