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Surgical Techniques and Outcomes in the Management of Pediatric Eyelid Burns: A Systematic Review
Lixin Ji1, Pranali N Gandhi2, Bryan S Torres1
1Departments of Surgery.
Insights
Early surgical release and specific techniques like antegrade foreheadplasty improve outcomes for pediatric eyelid burn contractures. Tailored approaches are crucial for optimal functional and aesthetic results in children.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Burn Management
Background:
- Eyelid burns in pediatric patients can lead to severe contractures and functional impairments.
- Timely and appropriate surgical intervention is critical for optimal outcomes.
Purpose of the Study:
- To evaluate surgical techniques for pediatric eyelid burns.
- To assess the impact of intervention timing on patient outcomes.
Main Methods:
- Systematic review adhering to PRISMA 2020 guidelines.
- Literature search of PubMed, Embase, and Web of Science (Jan 2000 - Aug 2024).
- Included 6 studies focusing on pediatric patients with severe eyelid burns.
Main Results:
- Antegrade foreheadplasty effectively treated upper eyelid contractures.
- Double Frost Suture technique improved graft stability and reduced retraction.
- Early surgical release demonstrated superior ocular protection and faster recovery.
Conclusions:
- A tailored surgical approach is essential for pediatric eyelid burn management.
- Early intervention generally leads to better outcomes.
- Further research is needed for complex cases and long-term results.
Purpose:
To evaluate the surgical techniques used in the management of eyelid burns among pediatric patients below 18 years old, focusing on the timing of interventions and patient outcomes.
Methods:
This systematic review was conducted in compliance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. A comprehensive literature search was performed using PubMed, Embase, and Web of Science, targeting studies published between January 2000 and August 2024. Search terms included "burn," "injury," "release," "scar," "children," "pediatric," "eyelid," "contracture," and "reconstruction." A total of 51 studies were identified, of which 6 met the inclusion criteria and were selected for detailed review. All focused on pediatric patients with severe eyelid burns.
Results:
The review identified a range of surgical techniques, including antegrade foreheadplasty, Double Frost Suture technique, and early versus delayed surgical release. Antegrade foreheadplasty was effective in addressing upper eyelid contracture deformities, providing significant functional and aesthetic improvements. The Double Frost Suture technique was successful in preventing graft retraction and enhancing graft stability. The timing of surgical intervention was found to be crucial, with early release showing better outcomes in terms of ocular protection and faster recovery compared with delayed interventions.
Conclusions:
The findings underscore the importance of a tailored approach in the surgical management of pediatric eyelid burns, with careful consideration of the timing and technique. While early surgical release generally yields better outcomes, the choice of technique should be guided by the specific needs of each patient. Further research is needed to refine these techniques and to better understand the long-term outcomes, particularly in complex cases involving extensive burns.
