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Pediatric scalp burns: hair today, gone tomorrow?

Seema Menon1, Madeleine Jacques, John G Harvey

  • 1From the *Children's Hospital at Westmead Burns Research Institute and the †Burns Unit, Douglas Cohen Department of Paediatric Surgery, Sydney Medical School, The University of Sydney, New South Wales, Australia.

Journal of Burn Care & Research : Official Publication of the American Burn Association
|May 15, 2014
PubMed

Insights

Pediatric scalp burns are uncommon, often caused by scalds. While most heal quickly, deeper burns can lead to alopecia and require complex management, including potential grafting.

Area of Science:

  • Pediatric Burn Management
  • Dermatology
  • Wound Healing

Background:

  • Scalp burns are infrequent in children, unlike adults where electrical injuries are common.
  • This study focuses on the specific challenges and outcomes of pediatric scalp burn management.

Purpose of the Study:

  • To review the institutional experience with pediatric scalp burn injuries.
  • To analyze causes, depth, healing times, and complications of pediatric scalp burns.

Main Methods:

  • Retrospective review of pediatric patients with scalp burns from March 2004 to July 2011.
  • Data collected included burn cause, depth, healing duration, need for grafting, and complications.

Main Results:

  • 107 pediatric scalp burns were identified, primarily caused by scalds (97%).
  • Most burns (87%) were superficial to mid-dermal, healing in an average of 10.3 days.
  • Deeper burns (13%) took an average of 50.8 days to heal, with 11% requiring grafting; alopecia was the main complication.

Conclusions:

  • Scald injuries are the leading cause of pediatric scalp burns, typically superficial and healing rapidly.
  • Deep dermal and full-thickness pediatric scalp burns present management challenges, often with delayed grafting decisions.
  • Alopecia is a significant complication, occurring in both grafted and conservatively treated cases.

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