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A Swine Burn Model for Investigating the Healing Process in Multiple Depth Burn Wounds
Published on: February 23, 2024
[Treatment of sequelae of burns in children]
G Poiret1, P Guerreschi, M Maillet
1Service de chirurgie plastique et réparatrice et centre des brûlés, hôpital Salengro, boulevard du Professeur-Emile-Laine, 59037 Lille cedex, France.
Insights
Pediatric burn sequelae, including deformities and growth issues, require plastic surgery interventions. Comprehensive treatment, combining surgery with rehabilitation, aims to restore function and improve appearance in children.
Area of Science:
- Plastic Surgery
- Pediatric Medicine
- Regenerative Medicine
Context:
- Pediatric burn sequelae present unique challenges including retraction, deformity, and growth disturbances.
- Management requires a multidisciplinary approach considering the child's specific physiological and psychological needs.
Purpose:
- To outline the comprehensive management of pediatric burn sequelae.
- To emphasize the integration of plastic surgery techniques with tailored rehabilitation strategies.
- To highlight the importance of addressing functional, morphological, and growth-related aspects.
Summary:
- Plastic surgery procedures such as skin grafts, Z-plasty, tissue expansion, flaps, artificial skin, and dermabrasion are employed to correct burn-induced deformities.
- Surgical interventions are often combined and must be coordinated with rehabilitation to restore function, improve aesthetics, and enable normal growth.
- Effective management necessitates understanding the pediatric environment, including managing inflammation, involving families, supporting education, and ensuring long-term follow-up until skeletal maturity.
Impact:
- Optimizing functional outcomes and physical appearance in pediatric burn survivors.
- Facilitating normal growth and development despite significant burn injuries.
- Improving the quality of life and psychosocial well-being of children affected by burns.
Abstract:
Burn sequelae in children are conveyed in the form of retraction, deformity and growth problems together with dyschromia and trophic disorders. All the plastic surgical procedures can be used to correct them: full thickness or split thickness skin grafts, Z plasty and its derivatives (trident plasty, IC flaps), expansion, flaps, artificial skin, and dermabrasion. In most cases, these procedures will be combined. The aim of surgical treatment coordinated with rehabilitation is to restore the function, correct the deformities induced, improve the morphological aspect and permit normal growth. Good knowledge of the paediatric environment is, however, required to cope with the specificities of the child: treat the severe local inflammation, get the family to participate in the projects of rehabilitation, sometimes with the help of social services, maintain normal schooling, accompany the disorders in body schema, and, finally, prolong follow-up until growth is complete, a challenge in these patients who are often very young at the time of the accident.
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