SavedAdd your journal

Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2010 / Cilt: 16 - Sayı: 5

Üst ekstremite, boyun ve yüz yanık kontraktürlerinin tedavisi; 77 olgunun sunumu

Treatment of post-burn upper extremity, neck and facial contractures: Report of 77 cases

Erdem GÜVEN
Alper Mete UĞURLU
Emre HOCAOĞLU
Samet Vasfi KUVAT
HÜSEYİN ELBEY
Pages
401–406
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

CONCLUSION Excellent results were seen with prefabricated flaps, which were used for the facial reconstruction.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:BACKGROUND Post-burn contractures severely deteriorate life quality.
📊
Key Findings & Data:Post-burn contractures occurring after a burn injury affected the upper extremity, face and neck in 60, 17 and 6 cases, respectively.
💡
Conclusion & Impact:CONCLUSION Excellent results were seen with prefabricated flaps, which were used for the facial reconstruction.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND Post-burn contractures severely deteriorate life quality. We aimed to present our treatment protocols for post-burn sequelae and the contractures that cause functional limitations. METHODS Seventy-seven cases with post-burn contracture were treated in our clinic. Post-burn contractures occurring after a burn injury affected the upper extremity, face and neck in 60, 17 and 6 cases, respectively. Skin grafts, local flaps such as advancement flaps, Z-plasties, K-plasties, regional flaps such as posterior interosseous flap, tissue expanded flaps, and free flaps were used according to the severity of the contractures. RESULTS In one patient with type II axillary contraction, recurrence was seen. Full range of motion was achieved in the 3.6-year follow-up period in elbow contractures. Eight of 71 phalangeal joint contractures recurred. Two patients underwent reoperation for neck contracture recurrences. CONCLUSION Excellent results were seen with prefabricated flaps, which were used for the facial reconstruction.

Özet

AMAÇ Yanık sonrası kontraktürleri hayat kalitesini ciddi olarak kötüleştirir. Bu çalışmada, yanık sonrası sekel ve kontraktürlerin fonksiyonel sınırlama nedeninde tedavi protokollerimizi sunmayı amaçlıyoruz. GEREÇ VE YÖNTEM Kliniğimizde yanık sonrası kontraktürlü 77 olgu tedavi edildi. Üst ekstremite, yüz ve boynu etkileyen yanığa bağlı kontraktür olguları sayısı sırası ile 60, 17 ve 6 idi. Deri grefti, ilerletme flepleri, Z plasti, K plasti gibi lokal flepler, posterior interosseöz flep gibi rejyonel flepler, genişletilmiş doku flepleri ve serbest flepler kontraktürlerin ciddiyetine göre kullanıldı. BULGULAR Tip II aksiller kontraktürlü bir olguda nüks gözlendi. Dirsek kontraktürlerinde tam hareket kapasitesine 3,6 yılda ulaşıldı. Yetmiş bir falanks kontraktürünün sekizinde nüks gözlendi. Boyun kontraktürü nüks olgularının ikisi yeniden ameliyat edildi. SONUÇ Yüz rekonstrüksiyonu için mükemmel sonuç prefabrike flep kullanılan olgularda gözlenmiştir.

🔖

Cite This Article

GÜVEN, E., UĞURLU, A. M., HOCAOĞLU, E., KUVAT, S. V., ELBEY, H. (2010). Üst ekstremite, boyun ve yüz yanık kontraktürlerinin tedavisi; 77 olgunun sunumu. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 16 - Sayı: 5, 401–406. https://ajindex.com/articles/324750

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (21)

  1. Al B, Coban S, Güloğlu C. Tandir burns in and around Diyarbakir, Turkey. Ulus Travma Acil Cerrahi Derg 2010;16:59-62
  2. Bozkurt M, Kulahci Y, Zor F, Kapi E. Burn injuries related to liquefed petroleum gas-powered cars. J Burn Care Res 2008;29:897-901
  3. Serghiou M, Cowan A, Whitehead C. Rehabilitation after a burn injury. Clin Plast Surg 2009;36:675-86
  4. Pandya AN. Principles of treatment of burn contractures. Repair Reconstr 2002;2:12-3
  5. Kwan MW, Ha KW. Splinting programme for patients with burnt hand. Hand Surg 2002;7:231-41
  6. Mosier MJ, Gibran NS. Surgical excision of the burn wound. Clin Plast Surg 2009;36:617-25
  7. Kucan JO, Bash D. Reconstruction of the burned foot. Clin Plast Surg 1992;19:705-19
  8. Wainwright DJ. Burn reconstruction: the problems, the techniques, and the applications. Clin Plast Surg 2009;36:687-700
  9. Hallock GG. A systematic approach to fap selection for the axillary burn contracture. J Burn Care Rehabil 1993;14:343-7
  10. Goodacre T. Surgical techniques: the V to Y plasty. Repair Reconstr 2001;2:13
  11. Greenhalgh DG, Gaboury T, Warden GD. The early release of axillary contractures in pediatric patients with burns. J Burn Care Rehabil 1993;14:39-42
  12. Obaidullah, Ullah H, Aslam M. Figure-of-8 sling for prevention of recurrent axillary contracture after release and skin grafting. Burns 2005;31:283-9
  13. Dias AD. Postburn contractures. Plast Reconstr Surg 2001;108:575-6
  14. Stern PJ, Law EJ, Benedict FE, MacMillan BG. Surgical treatment of elbow contractures in postburn children. Plast Reconstr Surg 1985;76:441-6
  15. Türegün M, Nisanci M, Duman H, Aksu M, Sengezer M. Versatility of the reverse lateral arm fap in the treatment of post-burn antecubital contractures. Burns 2005;31:212-6
  16. Schwarz RJ, Joshi KD. Treatment of post-burn contractures. J Nephrol Med Assoc 2004;43:211-7
  17. Salisbury RE. Reconstruction of the burned hand. Clin Plast Surg 2000;27:65-9
  18. Peker F, Celebiler O. Y-V advancement with Z-plasty: an effective combined model for the release of post-burn fexion contractures of the fngers. Burns 2003;29:479-82
  19. Zuker RM. The use of tissue expansion in pediatric scalp burn reconstruction. J Burn Care Rehabil 1987;8:103-6
  20. Pisarski GP, Mertens D, Warden GD, Neale HW. Tissue expander complications in the pediatric burn patient. Plast Reconstr Surg 1998;102:1008-12
  21. MacLennan SE, Corcoran JF, Neale HW. Tissue expansion in head and neck burn reconstruction. Clin Plast Surg 2000;27:121-3