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https://read.qxmd.com/read/37237316/the-feasibility-of-negative-pressure-wound-therapy-versus-standard-dressings-in-paediatric-hand-and-foot-burns-protocol-a-pilot-single-centre-randomised-control-trial
#21
JOURNAL ARTICLE
Emma Lumsden, Roy Kimble, Catherine McMillan, Kristen Storey, Robert S Ware, Bronwyn Griffin
INTRODUCTION: The goal of paediatric hand and foot burn management is hypertrophic scar and/or contracture prevention. The risk of scar formation may be minimised by integrating negative pressure wound therapy (NPWT) as an acute care adjunct as it decreases the time to re-epithelialisation. NPWT has known associated therapeutic burden; however, this burden is hypothesised to be outweighed by an increased likelihood of hypertrophic scar prevention. This study will assess the feasibility, acceptability and safety of NPWT in paediatric hand and foot burns with secondary outcomes of time to re-epithelialisation, pain, itch, cost and scar formation...
May 26, 2023: Pilot and Feasibility Studies
https://read.qxmd.com/read/37129333/dermal-substitute-a-safe-and-effective-way-in-surgical-management-of-adults-post-burn-dorsal-foot-contractures
#22
JOURNAL ARTICLE
K Serror, D Boccara, M Chaouat, G Cottone, F Amendola, M Alessandri Bonetti, F De Francesco, M Mimoun
OBJECTIVE: Neglected dorsal foοt burns may result in typical fοrefοοt defοrmities characterised by cοntractures leading tο hyperextensiοn οf the tοes and gait disturbance. These defοrmities usually cause a significant impairment in daily activities and difficulty in wearing shοes. This article presents a recοnstructiοn series οf severe fοrefοοt defοrmities by means of dermal regeneratiοn templates (also known as dermal substitutes) and split thickness skin grafts...
April 2023: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/37076259/reconstruction-of-post-burn-bone-exposed-defect-in-the-head-and-face-using-two-separate-anterolateral-thigh-chimeric-flap-a-case-report
#23
JOURNAL ARTICLE
Vinh Vu Quang, Hoang Thanh Tuan, Tran Van Anh, Tong Thanh Hai, Do Trung Quyet
Reconstruction of soft-tissue defects in the head and face region requires attention to both functional and aesthetic outcomes. In general, large post burn scars are still a daunting challenge for plastic surgeons. Various types of free flaps were previously performed for head and face reconstruction, including the anterolateral thigh (ALT) flap. However, to fully cover large and complex defects, the skin pedicle needs a sufficient width. Thus, we have combined dual ALT flaps that were harvested from both the lateral thighs...
April 20, 2023: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/36808048/soft-tissue-reconstruction-of-thumb-classification-of-defects-and-standardization-of-treatment
#24
JOURNAL ARTICLE
Mansoor Khan, Waqas Hayat, Nasir Khan, Hidayat Ullah, Qazi Ali, Rashid Khan
OBJECTIVE: The aim of this article is to share our experience of thumb defects based on the defect irrespective of the etiology of the defect and to work towards standardizing the treatment for thumb defects. METHODOLOGY: This study was conducted at the Burns and plastic surgery center at Hayatabad Medical complex from 2018 to 2021. Thumb defects were divided into small (< 3 cm), medium (4-8cm) and large defects (> 9cm). Post-operatively, patients were evaluated for complications...
December 20, 2022: Polski Przeglad Chirurgiczny
https://read.qxmd.com/read/36742700/assessment-of-speech-and-deglutition-in-patients-with-carcinoma-tongue-post-radial-forearm-free-flap-cover
#25
JOURNAL ARTICLE
Shwetha C Poojary, Aravind Rao, Ashish Singhal
Over the past 30 years, the introduction of reconstructive techniques incorporating microvascular free tissue transfer has transformed the quality of life of patients undergoing head and neck surgery.The free forearm flap was first described for head and neck reconstruction by Yang in 1981 when he used this flap to reconstruct a neck defect secondary to a burn scar contracture.In this retrospective cohort study, we have evaluated patients who underwent reconstruction of hemiglossectomy defect with radial forearm free flap for malignancy of tongue, from year 2018 to 2020, with reference to deglutition and speech...
December 2022: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/36623947/comparison-study-of-5-flap-z-plasty-and-double-z-plasty-for-interdigital-pocket-web-contractures
#26
JOURNAL ARTICLE
Chen Yang, Yong Yang, Wenyao Zhong, Bin Li, Feng Li
PURPOSE: The aim of this study was to compare the improvement in abduction and change in web slope between 5-flap z-plasty and double z-plasty for post-burn or post-trauma interdigital pocket web contractures. METHODS: We retrospectively reviewed 16 webs in 11 patients with post-burn or post-trauma interdigital pocket web contractures. Seven patients underwent 5-flap z-plasty and 4 double z-plasty. The abduction and slope angles of the affected fingers were measured before surgery and every 3 months after surgery...
January 7, 2023: Journal of Hand Surgery
https://read.qxmd.com/read/36373170/effect-of-exoskeleton-manipulator-on-hand-function-rehabilitation-for-postburn-patients
#27
JOURNAL ARTICLE
Jia Xu, Yaxin Xue, Zhencheng Yu, Danyang Zhao, Xin Li, Jiajun Fan, Dong Han
PURPOSE: Patients with scar contracture deformities caused by hand burns were treated with an exoskeleton manipulator system, which was equipped with games to explore its clinical application value. METHODS: Twenty patients who were treated for post-burn scars of bilateral hands between October 2020 and June 2021 were selected (ChiCTR2000036232). The patients were divided into two groups: control, 10 patients (traditional outpatient treatment); and experimental, 10 patients (exoskeleton manipulator system treatment)...
November 13, 2022: Disability and Rehabilitation
https://read.qxmd.com/read/36348892/difficult-airway-management-in-a-patient-with-post-burn-contracture-neck
#28
Deeksha Mishra, Vivek Chakole, Priyanka Dev
During reconstructive interventions in patients presenting with severe post-burn mento-sternal scar contracture, securing the airway forms a critical part of management. Extreme contracture is more likely to develop in patients who have had thoracic burns with ascending involvement of the neck and mandibular region. When cervical hyperextension and elevation of the mandible are impeded, post-burn contracture of the neck might render endotracheal intubation difficult. The development of rigid scar tissue that distorts the laryngeal and mandibular anatomy, or the development of microstomia following scar tissue retraction in facial burns, may make alternative approaches to direct laryngoscopy challenging...
October 2022: Curēus
https://read.qxmd.com/read/36347726/-proximal-to-distal-sequence-of-the-release-of-the-upper-extremity-post-burn-contracture-rule-or-case-based-approach
#29
A Priyadharshini, Geley Ete, Paul M Kingsly, Shwetha Agarwal
Post-burn contractures are a common entity seen in developing countries. There are multiple reasons for the development of contractures, most are preventable. In extensive contractures, a strategic plan is necessary to release all contractures and yet not antagonize post-operative positions. It is also necessary to be cost-effective and minimize the number of surgeries needed. Conventionally the release sequence in extensive burn contractures is proximal to distal. In this case report, we discuss an unusual sequence where we released distal contractures before the proximal to achieve optimum results...
October 26, 2022: Chinese Journal of Traumatology
https://read.qxmd.com/read/36280545/full-thickness-skin-graft-versus-split-thickness-skin-graft-in-paediatric-patients-with-hand-burns-systematic-review-and-meta-analysis
#30
JOURNAL ARTICLE
Abdulmalik Alsaif, Mohammad Karam, Amrit Hayre, Ahmad Abul, Ahmed Aldubaikhi, Narvair Kahlar
Our objective was to compare the outcomes of full thickness skin grafts versus split thickness skin grafts in paediatric hand burn patients. A systematic review and meta-analysis were carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) Guidelines, and an electronic search was conducted to identify all Randomised Controlled Trials and non-randomised studies comparing the outcomes of full thickness skin grafts versus split thickness skin grafts in paediatric hand burn patients...
September 29, 2022: Burns
https://read.qxmd.com/read/35988270/reconstruction-of-post-burn-hand-contractures-with-trapeze-flap
#31
JOURNAL ARTICLE
Jalal Hamasalih Fattah
Finger scar flexion contractures are a leading cause of hand disability and a serious complication of hand burns. There are numerous reconstructive procedures available nowadays. Nevertheless, a large number of them produce disappointing results. The goal is to assess the Trapeze flap's ability to repair post-burn finger flexion contractures. Also, the stromal cell-derived factor 1 (SDF1) gene expression was examined for further evaluation. From April 2014 to February 2020, a prospective investigation was undertaken at Rizgary teaching and CMC private hospitals in Erbil (in Iraq) to consider the effect of Trapeze flaps on the correction of postburn flexion contracture of fingers and first web space in 67 patients (112 fingers)...
April 30, 2022: Cellular and Molecular Biology
https://read.qxmd.com/read/35899333/-clinical-effects-of-free-peroneal-artery-perforator-flaps-in-repairing-forefoot-skin-and-soft-tissue-defect-wounds-assisted-with-three-dimensional-computed-tomography-angiography
#32
JOURNAL ARTICLE
C D Wang, A Wang, J L Sun, W G Ma, J G Wang
Objective: To investigate the clinical effects of free peroneal artery perforator flaps in repairing forefoot skin and soft tissue defect wounds assisted with three-dimensional computed tomography angiography (3D-CTA). Methods: A retrospective observational study was conducted. From March 2017 to September 2019, 15 patients with skin and soft tissue defect wounds in the forefoot were treated in the Department of Burn and Plastic Surgery of Yidu Central Hospital of Weifang, including 12 males and 3 females, with age of 18-60 years...
July 20, 2022: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://read.qxmd.com/read/35599421/-effects-of-expanded-frontal-parietal-pedicled-flap-in-reconstructing-cervical-scar-contracture-deformity-in-children-after-burns
#33
JOURNAL ARTICLE
C D Xia, J D Xue, P P Xing, H N Guo, D Y Cao, J F Xie, D W Han, H P Di
Objective: To explore the effects of expanded frontal-parietal pedicled flap in reconstructing cervical scar contracture deformity in children after burns. Methods: A retrospective observational study was conducted. From January 2015 to December 2020, 18 male children with cervical scar contracture deformity after burns who met the inclusion criteria were admitted to Zhengzhou First People's Hospital, aged 4 to 12 years, including 10 cases with degree Ⅱ cervical scar contracture deformity and 8 cases with degree Ⅲ scar contracture deformity, and were all reconstructed with expanded frontal-parietal pedicled flap...
May 20, 2022: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://read.qxmd.com/read/35582089/traitement-chirurgical-des-brides-cervicales-post-br%C3%A3-lure-%C3%A3-propos-de-47-cas
#34
JOURNAL ARTICLE
M Mahrouch, O E Atiqui, I Yafi, O A Benlaassel, S Zinedine, M Geouatri, M Sahibi, M D Amrani, Y Benchamkha
When their treatment is not optimal, deep cervical burns often develop retractions, ranging between simple vertical retractions to major global ones. They generate functional, aesthetic and psychological sequelae. Surgical treatment, adapted to both the patient and the type of retraction, has several goals including restoring the neck-chin angle, restoring a correct aesthetic aspect, and allowing social rehabilitation. In our unit, we managed 47 patients (mean age 22) with neck contractures over 8 years, from 2012-2020...
March 31, 2022: Annals of Burns and Fire Disasters
https://read.qxmd.com/read/35462510/-clinical-effects-of-free-transplantation-of-expanded-thoracodorsal-artery-perforator-flaps-in-reconstructing-cervical-cicatrix-contracture-deformity-after-burns
#35
JOURNAL ARTICLE
P Ji, T Cao, Z Zhang, Y Zhang, S J Hu, J C Wang, C Han, J Wang, J H Shi, D H Hu, K Tao
Objective: To explore the clinical effects of free transplantation of expanded thoracodorsal artery perforator flaps in reconstructing cervical cicatrix contracture deformity after burns. Methods: A retrospective observational study was conducted. From May 2018 to April 2021, 11 patients with cervical cicatrix contracture deformity after burns who met the inclusion criteria were admitted to the First Affiliated Hospital of Air Force Medical University, including 3 males and 8 females, aged 5 to 46 years, with a course of cervical cicatrix contracture deformity of 5 months to 8 years...
April 20, 2022: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://read.qxmd.com/read/35398780/the-use-of-modified-glove-like-abdominal-flap-for-reconstruction-of-contracture-following-burns-of-dorsal-hand-and-fingers-a-case-report
#36
JOURNAL ARTICLE
Almahitta Cintami Putri, Puti Adla Runisa, Lisa Hasibuan, Ahmad Faried, Johanes Cornelius Mose
INTRODUCTION AND IMPORTANCE: Burn contracture has been a challenge for its acquired functional disabilities and deformities. Surgical reconstruction poses a significant challenge for optimal aesthetic and functional improvement. Super thin abdominal skin pedicle flap can be used, but it has only one pedicle from one site of abdomen and needs tissue expander for a larger defect. The use of modified glove-like abdominal flap has been stated to be an option mainly for the use on acute hand burn...
May 2022: International Journal of Surgery Case Reports
https://read.qxmd.com/read/35125668/a-bayesian-finite-element-trained-machine-learning-approach-for-predicting-post-burn-contraction
#37
JOURNAL ARTICLE
Ginger Egberts, Marianne Schaaphok, Fred Vermolen, Paul van Zuijlen
Burn injuries can decrease the quality of life of a patient tremendously, because of esthetic reasons and because of contractions that result from them. In severe case, skin contraction takes place at such a large extent that joint mobility of a patient is significantly inhibited. In these cases, one refers to a contracture. In order to predict the evolution of post-wounding skin, several mathematical model frameworks have been set up. These frameworks are based on complicated systems of partial differential equations that need finite element-like discretizations for the approximation of the solution...
2022: Neural Computing & Applications
https://read.qxmd.com/read/35111453/skin-graft-versus-local-flaps-in-management-of-post-burn-elbow-contracture
#38
JOURNAL ARTICLE
Mohamed Issa, Marwa Badawi, George Bisheet, Mahmoud Makram, Abdelhamed Elgadi, Ayyat Abdelaziz, Khaled Noureldin
Introduction Contracture is a pathological scar tissue resulting from local skin tissue damage, secondary to different local factors. It can restrict joint mobility, resulting in deformity and disability. This study aimed to investigate the outcomes of skin grafts compared to local flaps to reconstruct post-burn elbow contractures. These parameters included regaining function, range of movement, recurrence, and local wound complications. Methodology A retrospective study reviewed 21 patients for elbow reconstruction over 12 months...
December 2021: Curēus
https://read.qxmd.com/read/35081576/evaluation-of-clinical-and-biomechanical-features-of-scars-resulting-from-the-treatment-of-burn-contractures-comparing-acellular-dermal-matrices-a-randomized-clinical-trial
#39
JOURNAL ARTICLE
Ivan R Almeida, Adriana C Gonçalves, Fernanda B Corrêa, Júlio C D Castro, Elaine C O Guirro, Jayme A Farina Junior, Pedro S Coltro
OBJECTIVE: To compare clinical and biomechanical features of scars resulting from the treatment of burn contractures using different acellular dermal matrices (ADM). SUMMARY BACKGROUND DATA: Extensive burns often lead to severe sequelae, such as skin contractures, that can be treated using ADM to improve the quality of these scars. METHODS: A prospective, randomized and controlled clinical trial was performed including patients with burn contractures at least one-year post-burn, treated using split-thickness skin graft (STSG)...
January 25, 2022: Annals of Surgery
https://read.qxmd.com/read/35037580/a-technique-of-immobilization-of-digits-by-spinal-or-intracath-needle-following-soft-tissue-surgery
#40
JOURNAL ARTICLE
Pawan Agarwal, Rajeev Kukrele, D Sharma
After release of post burn flexion contracture and repair of soft tissue injury of digits, it is desirable to maintain the digits in full extension. This is conventionally done by insertion of Kirschner wires across the interphalangeal or metacarpophalangeal joints. We have been inserting a spinal or intracath needle in a dorsal supra-periosteal plane for immobilizing digits after release of post burn contractures or repair of soft tissue injury. The needle is maintained for 2-3 weeks, and all patients achieved stable immobilization of digits...
February 2022: Journal of Hand Surgery Asian-Pacific Volume
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