PLASTIC SURGICAL TECHNIQUES FOR THE TREATMENT OF BURN ABNORMAL SCARS IN PEDIATRIC PATIENTS
Abstract
Post-burn scars have a major impact on the quality of life of pediatric patients, both from a psychological and functional point of view. Pediatric patients with post-burn scars usually have difficulties integrating into the collective due to the low self-esteem determined by the poor aesthetic outcome of the deep or large burns. From a functional standpoint, burn contractures are a significant cause of disability in burn survivors worldwide, as they can affect the tendons and muscles or impair joint mobility. The statistical information that results from this study plays a role in improving the therapeutic protocol. The reconstruction methods of post-burn abnormal scars can be used in order to prevent or to treat the psychological consequences and the functional disability of the affected segment. Material and methods: The study includes a group of 147 patients aged between 1-24 years, male and female, admitted through the emergency or outpatient service in the Department of Plastic Surgery and Reconstructive Microsurgery in the “Sf. Maria” Emergency Children Hospital Iasi. Results: From the total number of pediatric patients with post-burn scarring sequelae (n=147), 32.65% (n=48) were treated by local triangular skin flaps plasty, 18.36% (n=27) by full-thickness skin graft plasty, 12.92% (n=19 ) by scar excision and suture, 11.56% (n=17) by tissue expander implant, 7.48% (n=11) by employing the Z-plasty technique, 5.44% (n=8) by associating a local triangular skin flap with a full-thickness skin graft, 5.44% (n=8) by combining Z-plasty with a full-thickness skin graft, 2.04% (n=3) benefited from plasty with synthetic dermis (Integra®), 1.36% (n=2) were treated by degranulation, 1.36% (n=2) by Triamcinolone injection, less than 1% (n=1) of patients received dermabrasion or hair transplantation. Conclusions: Skin flaps represent the most effective and frequently utilized method of treatment of post-burn scar sequelae.
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