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Isolated buttock burns: epidemiology and management
T Potokar1, R Ramaswamy, W A Dickson
1The Welsh Regional Burns Centre, Morriston Hospital, Wales SA6 6NL, Swansea, UK.
Insights
This study analyzed buttock burn cases, finding pediatric patients often had superficial burns. Adult buttock burns were deeper, frequently requiring skin grafting, even with pre-existing conditions.
Area of Science:
- Burn management
- Epidemiology of burns
- Trauma surgery
Background:
- Isolated buttock burns are uncommon, presenting unique challenges in patient care and treatment.
- Understanding the epidemiology and management of these specific injuries is crucial for optimizing outcomes.
Purpose of the Study:
- To investigate the epidemiology and management strategies for isolated buttock burns.
- To identify patient demographics, burn etiologies, and treatment outcomes.
- To evaluate the effectiveness of current management protocols for buttock burns.
Main Methods:
- Retrospective analysis of 31 isolated buttock burn cases treated between January 1996 and December 1999.
- Data collection included patient demographics, burn depth, etiology, and treatment interventions.
- Review of management techniques, including wound care and surgical interventions like skin grafting.
Main Results:
- The study included 31 cases, with approximately 50% in the pediatric age group and an equal sex distribution.
- Contact burns were the most common cause, resulting in superficial injuries in children.
- Adults were more prone to deeper burns requiring skin grafting, with about 50% having a premorbid condition.
Conclusions:
- Isolated buttock burns affect both pediatric and adult populations, with differing burn depths and etiologies.
- Skin grafting is an appropriate and effective treatment for full-thickness buttock burns in adults, irrespective of positioning challenges.
- Management should consider patient age, burn depth, and the presence of comorbidities for optimal outcomes.
Abstract:
This is a retrospective study of the epidemiology and management of isolated buttock burns presenting to the Welsh Regional Burns Centre from January 1996 to December 1999. A total of 36 cases have been treated of which 31 are included in this study. Approximately, 50% are in the paediatric age group and the sex distribution is equal for both adults and children. Contact burns form the largest group, and in children resulted in superficial burns requiring dressings only. The adult population is more likely to sustain deeper burns that require skin grafting, and approximately 50% will have a contributing premorbid condition. Despite difficulties in dressing and positioning of the patients, grafting of full thickness burns is appropriate without recourse to faecal diversion.