EXPERIENCE TREATMENT OF CHILDREN WITH POST-BURN SCAR CONTRACTURE OF THE NECK

Cicatricial deformations of the neck occur in 4-30.5 % of children suffered from burn trauma, and are the most severe consequences. Early reconstructive surgery in this pathology provides free growth and development of the skull and upper body and promote psychological and social recovery of the chi...

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Autores principales: V. V. Perlovskaya, V. N. Zelenin, I. B. Li, L. V. Angarkhaeva
Formato: article
Lenguaje:RU
Publicado: Scientific Сentre for Family Health and Human Reproduction Problems 2017
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Acceso en línea:https://doaj.org/article/13c255c6b1df41b4a26c5a15d436bd38
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spelling oai:doaj.org-article:13c255c6b1df41b4a26c5a15d436bd382021-11-23T06:14:37ZEXPERIENCE TREATMENT OF CHILDREN WITH POST-BURN SCAR CONTRACTURE OF THE NECK2541-94202587-959610.12737/article_5955e6b49973a0.05045911https://doaj.org/article/13c255c6b1df41b4a26c5a15d436bd382017-02-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/359https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Cicatricial deformations of the neck occur in 4-30.5 % of children suffered from burn trauma, and are the most severe consequences. Early reconstructive surgery in this pathology provides free growth and development of the skull and upper body and promote psychological and social recovery of the child. The treatment of such patients presents great difficulties, and in each case requires an individual approach. The article presents the experience of treatment of two children with severe scar contracture of the neck, complicated by the lack of reserves in undamaged tissues of the neck and the surrounding areas. We used a combination of several methods of skin grafting, including axial flow and the prefabrication of flaps, divided in time into stages. In one case in a child with total neck contracture, we performed pre-surgical (3.5 weeks before the main stage surgical intervention) preparation of the two flaps - scapular and epaulet flaps. In the other case, 4-year old girl with subtotal flexion contracture, a month before the main surgery we prepared scapular flap and increased its area expander dermotension, with endoscopic implantation of endoexpander. In this paper, we describe in detail the technology of operative treatment of these two patients. In both cases, there were no postoperative complications. The use of modern medical technologies based on conventional techniques in surgical correction of severe flexion scar contractures of the neck of the presented patients decided both functional and aesthetic problems.V. V. PerlovskayaV. N. ZeleninI. B. LiL. V. AngarkhaevaScientific Сentre for Family Health and Human Reproduction Problemsarticlecicatricial neck contracturerotational flapexpander dermotensionendoscopic implantationpreliminary surgical preparationScienceQRUActa Biomedica Scientifica, Vol 2, Iss 1, Pp 39-43 (2017)
institution DOAJ
collection DOAJ
language RU
topic cicatricial neck contracture
rotational flap
expander dermotension
endoscopic implantation
preliminary surgical preparation
Science
Q
spellingShingle cicatricial neck contracture
rotational flap
expander dermotension
endoscopic implantation
preliminary surgical preparation
Science
Q
V. V. Perlovskaya
V. N. Zelenin
I. B. Li
L. V. Angarkhaeva
EXPERIENCE TREATMENT OF CHILDREN WITH POST-BURN SCAR CONTRACTURE OF THE NECK
description Cicatricial deformations of the neck occur in 4-30.5 % of children suffered from burn trauma, and are the most severe consequences. Early reconstructive surgery in this pathology provides free growth and development of the skull and upper body and promote psychological and social recovery of the child. The treatment of such patients presents great difficulties, and in each case requires an individual approach. The article presents the experience of treatment of two children with severe scar contracture of the neck, complicated by the lack of reserves in undamaged tissues of the neck and the surrounding areas. We used a combination of several methods of skin grafting, including axial flow and the prefabrication of flaps, divided in time into stages. In one case in a child with total neck contracture, we performed pre-surgical (3.5 weeks before the main stage surgical intervention) preparation of the two flaps - scapular and epaulet flaps. In the other case, 4-year old girl with subtotal flexion contracture, a month before the main surgery we prepared scapular flap and increased its area expander dermotension, with endoscopic implantation of endoexpander. In this paper, we describe in detail the technology of operative treatment of these two patients. In both cases, there were no postoperative complications. The use of modern medical technologies based on conventional techniques in surgical correction of severe flexion scar contractures of the neck of the presented patients decided both functional and aesthetic problems.
format article
author V. V. Perlovskaya
V. N. Zelenin
I. B. Li
L. V. Angarkhaeva
author_facet V. V. Perlovskaya
V. N. Zelenin
I. B. Li
L. V. Angarkhaeva
author_sort V. V. Perlovskaya
title EXPERIENCE TREATMENT OF CHILDREN WITH POST-BURN SCAR CONTRACTURE OF THE NECK
title_short EXPERIENCE TREATMENT OF CHILDREN WITH POST-BURN SCAR CONTRACTURE OF THE NECK
title_full EXPERIENCE TREATMENT OF CHILDREN WITH POST-BURN SCAR CONTRACTURE OF THE NECK
title_fullStr EXPERIENCE TREATMENT OF CHILDREN WITH POST-BURN SCAR CONTRACTURE OF THE NECK
title_full_unstemmed EXPERIENCE TREATMENT OF CHILDREN WITH POST-BURN SCAR CONTRACTURE OF THE NECK
title_sort experience treatment of children with post-burn scar contracture of the neck
publisher Scientific Сentre for Family Health and Human Reproduction Problems
publishDate 2017
url https://doaj.org/article/13c255c6b1df41b4a26c5a15d436bd38
work_keys_str_mv AT vvperlovskaya experiencetreatmentofchildrenwithpostburnscarcontractureoftheneck
AT vnzelenin experiencetreatmentofchildrenwithpostburnscarcontractureoftheneck
AT ibli experiencetreatmentofchildrenwithpostburnscarcontractureoftheneck
AT lvangarkhaeva experiencetreatmentofchildrenwithpostburnscarcontractureoftheneck
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