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Outcome of the Modified Meek Technique in the Management of Major Pediatric Burns
Insights
The modified Meek micrografting technique shows favorable outcomes in pediatric major burns, offering good graft take and low contracture rates. This method is particularly useful for children with limited donor sites, proving cost-effective.
Area of Science:
- Plastic Surgery
- Pediatric Burn Management
- Wound Healing
Background:
- The modified Meek micrografting technique is established for severe burns in adults.
- Limited research exists on its efficacy in pediatric burn patients.
- This study addresses the gap in understanding outcomes for children.
Purpose of the Study:
- To evaluate the outcomes of the modified Meek micrografting technique in pediatric major burn patients.
- To present favorable results supporting its use in this age group.
Main Methods:
- Retrospective review of pediatric major burn cases from 2010-2015.
- Analysis of patients grafted using the Meek technique at Hospital Universiti Sains Malaysia.
Main Results:
- Twelve pediatric patients (average age 6 years) with major burns (average 35.4% TBSA) were treated.
- No mortality was observed; 91.7% were male.
- Average graft take was 82.3% with a low contracture rate (1/12 patients).
Conclusions:
- The Meek technique is effective for pediatric major burns, especially with limited donor sites.
- It demonstrates good graft take, minimal contracture, and cost-effectiveness.
- Favorable outcomes support its use in pediatric burn care.
Introduction:
The modified Meek micrografting technique has been used in the treatment of severely burned patients and a number of articles have examined the use of the modified Meek technique in adults and in mixed-age groups. However, there is a paucity of research pertaining to the outcome in the pediatric age group. The aim of this study is to present our favorable outcome in pediatric major burns using the modified Meek technique.
Methods:
A retrospective review of burn cases in Hospital Universiti Sains Malaysia from 2010 to 2015 was conducted. Cases of major burns among pediatric patients grafted using the Meek technique were examined.
Results:
Twelve patients were grafted using the Meek technique. Ten (91.7%) patients were male, whereas 2 (8.3%) were female. The average age of patients was 6 years (range, 2-11 years). The average total body surface area was 35.4% (range, 15%-75%). Most burn mechanisms were due to flame injury (66.7%) as compared with scalds injury (16.7%) and chemical injury (16.7%). There was no mortality. All patients were completely grafted with a good donor site scar. The average graft take rate was 82.3%, although 8 cases had positive tissue cultures from the Meek-grafted areas. The average follow-up duration was 3.6 years (range, 1.1-6.7 years). Only 1 case developed contracture over minor joint.
Conclusions:
The Meek technique is useful when there is a paucity of donor site in the pediatric group. The graft take is good, contracture formation is low, and this technique is cost-effective.
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