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Post-Burn Contracture

Qazi Ehsan Ali, Obaid Ahmed Siddiqui, Syed Hussain Amir, Sarfaraz Ahmad, Shaista Jamil
BACKGROUND AND OBJECTIVES: Managing the airway of post burn contracture of the neck has always been challenging to anesthesiologists as it limits the alignment of oro-pharyngo-laryngeal axes because of functional and anatomical deformities that occur as a result of long standing contractures. Here the role of the King Vision video laryngoscope which is the latest in the series of video laryngoscope has been evaluated for such patients. CASE REPORT: A 35 year old male patient with post burn contracture of neck was scheduled for release of the contracture...
September 20, 2016: Revista Brasileira de Anestesiologia
Kathryn Isaac, Nisha Umraw, Robert Cartotto
Prominent scars and contractures may form along the seams between adjacent skin grafts. Seams may be constructed either by approximating the graft edges (AP), or by slightly overlapping the graft edges (OV), but it is not known if one technique creates a less conspicuous seam scar. The purpose of this study was to compare seam scars between seams constructed using the AP and OV techniques. This was a prospective within-patient and within-seam controlled study in adult burn patients treated at an American Burn Association-verified burn center...
August 25, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
Anders H Carlsson, Lloyd F Rose, John L Fletcher, Jesse C Wu, Kai P Leung, Rodney K Chan
Current standard of care for full-thickness burn is excision followed by autologous split-thickness skin graft placement. Skin grafts are also frequently used to cover surgical wounds not amenable to linear closure. While all grafts have potential to contract, clinical observation suggests that antecedent thermal injury worsens contraction and impairs functional and aesthetic outcomes. This study evaluates the impact of antecedent full-thickness burn on split-thickness skin graft scar outcomes and the potential mediating factors...
September 3, 2016: Burns: Journal of the International Society for Burn Injuries
Nicola A Clayton, Elizabeth C Ward, Peter K Maitz
BACKGROUND: Dysphagia following severe burns can be significant and protracted, yet there is little evidence describing the rehabilitation principles, process or outcomes. PURPOSE: Outline current evidence and detail the clinical outcomes of two cases who underwent a multifaceted intensive treatment programme aimed at rehabilitating dysphagia by strengthening swallow function and minimising orofacial contractures after severe head and neck burns. METHODS: Two men (54 and 18 years) with full-thickness head and neck burns and inhalation injury underwent intensive orofacial scar management and dysphagia rehabilitation...
August 26, 2016: Burns: Journal of the International Society for Burn Injuries
Nanze Yu, Xiao Long
No abstract text is available yet for this article.
July 11, 2016: Annals of Plastic Surgery
S V Soumya, S S Daniel, K G Ashish, K Santosh
AIM: To prevent cicatrical scar formation of the oral commissure post commissuroplasty. METHOD: Bilateral commisuroplasty followed by tooth borne static orthosis and then after dynamic orthosis for a period of one year. CONCLUSION: The use of both static and dynamic orthosis in appropriate sequence resulted in good scar outcome.
June 2016: Journal of Maxillofacial and Oral Surgery
U Mirastschijski, J T Sander, U Zier, H O Rennekampff, B Weyand, P M Vogt
Deep burns lead to scarring and contractures for which there is little or no published data on treatment costs. The purpose of this study was to fill this gap by analysing treatment costs for burn sequelae. To do this, German-DRG for in-patient treatment was collected from the Burn Centre Lower Saxony. DRG-related T95.-coding served as a tool for burn-associated sequelae. Data on scar occurrence, plastic-reconstructive surgery and sick leave were collected by a questionnaire. The findings showed that 44.6% patients reported post-burn scarring and 31% needed surgical intervention...
September 30, 2015: Annals of Burns and Fire Disasters
Z Buja, H Arifi, E Hoxha, S Duqi
Burn injuries are very frequent in Kosovo, leading to long-lasting physical, functional, aesthetic, psychological and social consequences directly proportional to the time of healing; the longer it takes for the burn wound to heal, the more serious are the sequelae. The objectives of the present study are to review the epidemiological, clinical and therapeutic aspects of burn patients presenting with post-burn sequelae and treated at the Department of Plastic and Reconstructive Surgery, Pristina, Kosovo, from January 2005 until December 2011...
September 30, 2015: Annals of Burns and Fire Disasters
Chunmei Wang, Junyi Zhang, Sifen Yang, Hiko Hyakusoku, Ping Song, Lee L Q Pu
OBJECTIVE: Based on our previous animal study, we applied the "bridging effect" to the neighboring axial flap through preexpansion and prefabrication of a skin perforator flap as a new method to reconstruct a large skin defect after release of severe neck burn scar contracture. METHODS: Twelve patients suffering from severe post-burn cervical contractures underwent reconstruction of large skin defects after surgical release of severe scar contractures with preexpanded and prefabricated super-thin skin perforator flaps supplied primarily by a number of perforators via the "bridging effect" from the branches of the adjacent arteries as 2-stage procedures...
February 2016: Annals of Plastic Surgery
Ahmed M Afifi, Tarek A Mahboub, Amr Ibrahim Fouad, Kodi Azari, Haitham H Khalil, James E McCarthy
This works aim is to evaluate the efficacy of skin grafts and flaps in reconstruction of post-burn hand and wrist deformities. A prospective study of 57 burn contractures of the wrist and dorsum of the hand was performed. Flaps were used only if there was a non-vascularized structure after contracture release, otherwise a skin graft was used. Active range of motion (ROM) was used to assess hand function. The extension deformity cohort uniformly underwent skin graft following contracture release with a mean improvement of 71 degrees (p<0...
June 2016: Burns: Journal of the International Society for Burn Injuries
Sheng-Sung Chen
Burn injuries nearly always occur by accident. Burn injuries that cover large areas of the body typically cause hypertrophic scarring and joint contractures that affect the ability of the burn patient to handle normal activities of daily living. Occupational therapists begin the related interventions as early as possible, and patients require rehabilitation continuously until scar maturation. The present article provides an overview of the approach that occupational therapists should take in treating burn patients...
February 2016: Hu Li za Zhi the Journal of Nursing
Yu-Hsun Lin, Hsiu-Hua Lin, Li-Ping Shi, Eng-Kean Yeong
Major burn injuries constitute a systemic disease. In addition to completely understanding the mechanisms of wound healing, precise burn depth and area assessment is critical to the successful management of burn injuries. The recent advancements in post-burn fluid resuscitation, tangential burn excision and grafting, effective enteral tube feeding, and aggressive sepsis treatment have helped greatly increase the survival rates for major burn injuries. However, the restricted joint motion that results from hypertrophic scar contracture remains the main challenge facing burn survivors...
February 2016: Hu Li za Zhi the Journal of Nursing
Rajeev B Ahuja, Amit M Mulay, Aarti Ahuja
INTRODUCTION: The Burn Specific Health Scale-Brief (BSHS-B) is a popular instrument to measure quality of life (QoL) in burn patients. The current study aims at identifying the prognostic variables for our burn population using the BSHS-RBA (revised, brief and adapted) scale. MATERIALS AND METHODS: The study was conducted on 60 post-burn patients using the BSHS-RBA scale. The questionnaire was administered by an interview as majority of patients were illiterate...
May 2016: Burns: Journal of the International Society for Burn Injuries
Indranil Sinha, Dagny Zhu, Kristin Ojomo, Lisa Gfrerer, Rajendra Sawh-Martinez, Anup Patel, Rodney K Chan, James F Watkins
OBJECTIVE: Burns and subsequent contractures are common in developing nations. Contracture release is performed to treat such patients with functional limitations. The aim of this study is to evaluate post-operative functional and psychosocial outcomes following contracture release in a mission setting. METHODS: During a surgical mission in Mumbai, India, 39 patients burn contractures underwent surgical release. A total of 31 patients (64% female, mean age 27 years) chose to participate in the study...
March 2016: Burns: Journal of the International Society for Burn Injuries
Tahsin Görgülü, Abdulkerim Olgun
The Z-plasty is used frequently in hand surgery to release post-burn scar contractures. Correct angles and equalization of each limb are the most important parts of the Z-plasty technique. A simple ruler is enough for equalization of limb but a goniometer is needed for accuracy and equalization of angles. Classically, angles of 30°, 45°, 60°, 75°, and 90° are used. These angles are important when elongating a contracture line or decreasing tension. Our method uses only trigonometry coefficients and a simple ruler, which is easily obtained and sterilized, enabling surgeons to perform all types of Z-plasty perfectly without measuring angles using a goniometer...
March 2016: Burns: Journal of the International Society for Burn Injuries
Nonavinakere Prabhakera Sunil, Firdos Ahmed, Prabir Kumar Jash, Madhumita Gupta, Santanu Suba
CONTEXT: Functionality of the hands is the major determinants of the quality of life in burns survivors. If contractures or scarring affect the dominant hand, as they do on most occasions, the vocation and there by the economic status of the patient suffer. AIM: The aim of this study is to evaluate the different surgical procedures for resurfacing after release of post-burn hand contractures in terms of functional recovery and aesthetic outcome. SETTINGS AND DESIGN: It's a prospective, non-randomised study of 50 patients admitted and undergoing surgical reconstructive procedures for post burn hand contractures in our plastic surgery department...
August 2015: Journal of Clinical and Diagnostic Research: JCDR
Deo Darius Balumuka, George William Galiwango, Rose Alenyo
BACKGROUND: Recurrence of post-burn contractures, following inadequate management of post-burn contractures (PBC), is under reported. It is associated with multiple operations and an increased cost to patients and their families. The purpose of this study was to determine the frequency of recurrence of PBC of the shoulder and the elbow joint three months after surgical intervention and the associated risk- factors. METHODS: This was a prospective cohort study conducted at CoRSU hospital from March 2012 to November 2014...
2015: BMC Surgery
A Sarkar, S Raghavendra, M G Jeelani Naiyer, D Bhattacharya, G Dutta, J Bain, J Asha
Neck contractures after burn injuries produce restrictions in motion and unacceptable aesthetic outcomes. Although different methods of reconstruction have been used in the treatment of this ailment, a limited and unsatisfactory outcome often results. Free thin anterolateral flaps have been found to be a good single stage option for reconstruction of post-burn contractures of the neck. In our study, 11 patients with post flame burn contractures of the neck underwent surgical release and coverage by a free thin anterolateral thigh flap...
December 31, 2014: Annals of Burns and Fire Disasters
N A Clayton, E C Ward, P K M Maitz
PURPOSE: To examine clinical outcomes following non-surgical exercise for contracture management post partial thickness orofacial burn. METHODS: A cohort of 229 patients with partial thickness orofacial burn was recruited over 3 years. Orofacial contracture management combining exercise and stretching was initiated within 48h of admission and continued until functional goals were consistently achieved. A second cohort of 120 healthy controls was recruited for normative comparison...
September 2015: Burns: Journal of the International Society for Burn Injuries
Nazım Gümüş
BACKGROUND: Although many precautions have been introduced into early burn management, post burn contractures are still significant problems in burn patients. In this study, a form of Z-plasty in combination with relaxing incision was used for the correction of contractures. METHODS: Preoperatively, a Z-advancement rotation flap combined with a relaxing incision was drawn on the contracture line. Relaxing incision created a skin defect like a rhomboid. Afterwards, both limbs of the Z flap were incised...
May 2015: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
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