To retrospectively investigate factors influencing wound healing in patients with deep partial-thickness burns on neck undergoing non-surgical treatment, and provide references for optimizing non-surgical treatment strategies.

A total of 122 patients with deep partial-thickness burns on neck who received non-surgical treatment at the Department of Burns and Plastic Surgery， the First Hospital of Hebei Medical University between December 2018 and June 2024 were included. General demographic and clinical data of the patients were collected， including gender， age， body mass index （BMI）， injury causes， neck burn area， total burn area， wound management approach （exposure， semi-exposure， or occlusive dressing） ， and presence of inhalation injury. Univariate analysis and multiple linear regression were performed to identify factors associated with wound healing time.

The wound healing time ranged from 11 to 36 days， with an average of （19.3±5.6） days. Univariate analysis showed that wound healing time differed significantly among patients with different causes of injury， wound management approach， total burn area， and presence or absence of inhalation injury（P<0.05）. Multiple linear regression analysis showed that patients with flame burns or hydrothermal scald had a longer wound healing time compared with those with electrical flash burns （β=0.368， P=0.006； β=0.276， P=0.047， respectively）. Patients treated with occlusive dressings had significantly shorter wound healing time than those managed without occlusive dressings （β=-0.208， P=0.030）. Additionally， patients complicated with inhalation injury exhibited a longer wound healing time than those without inhalation injury（β=0.278， P=0.014）.

Occlusive dressing therapy may offer advantages in reducing wound healing time compared to exposure or semi-exposure approaches for non-surgical management of deep partial-thickness burn on neck. Flame burns and hydrothermal scald and concomitant inhalation injury are associated with prolonged healing， underscoring the need for early targeted interventions in such patients to enhance recovery.