73 patients with the treatment of burn scar contracture deformity.docVIP

 PAGE \* MERGEFORMAT 14 73 patients with the treatment of burn scar contracture deformity Keywords: burn scar contracture deformity By March 1988 to September 2005 were treated eye, neck, back of the hand, suffered deep burns and other parts of the perineum caused by scar contracture deformity 73 cases of restoration are the clinical data, focusing on principles and methods of treatment will be discussed . Reported as follows. A clinical data 1.1 General Information The group of 73 cases (84 sites), of which 42 males and 31 females, aged 2 to 54 years. All the cases were caused by the depth of burn scar contracture deformities found in 15 cases of eye, neck in 10 cases, 40 cases of hand, perineal 8 cases; duration up to 30 years and the shortest 2 months; the biggest one cases of scar excision wound A total of 600cm2, the smallest one cases of 4cm × 5cm. 1.2 Treatment Take contracture scar removal, restoration and wound deformities large sheet of autologous skin graft. Obtained in 53 cases of full-thickness skin repair (65), adjacent skin flap in 11 cases, 5 cases of island skin flap with vascular pedicle vascularized free flap in 4 cases. Skin transplant packaged suture using intermittent compression, 7 ~ 12d stitches. 2 cases of anterior part of the skin necrosis occurs (8cm × 3cm and 10cm2), each of the two pieces make up and skin grafting, and repeated dressing and healing. Get free flap and island flap repair site were significantly overstaffed and trimming to be done 1-2 times. 2 Results This group of cases were a 10 year follow-up 65 patients (visitation rate was 89%), of which 7 cases of the perineum, hand in 37 cases, neck in 8 cases, the eye in 13 cases. 7 cases of perineal scar contracture after restoration urine is not affected, the legs are still certain restrictions, children are more obvious; 37 cases of scar excision and skin grafting in hand, two hands gripping appearance Shangju sati