摘要:

A burn of the oral commissure is one of the most common types of electrical injury in children. To minimize postoperative wound contracture in late reconstructive surgery, a functional reconstruction that combines excision of the burn scar with lateral advancement of the orbicularis oris muscle, re-creation of the modiolus labii, and reestablishment of vermilion continuity has been developed. Functional restoration of the labial musculature to the preinjury position with re-creation of the modiolus labii and reestablishment of vermilion continuity appears to significantly decrease the amount of postoperative wound contracture (p< 0.025).

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

A review of 1987 patients treated during die years 1981 to 1986 was conducted to answer the following questions about perineal burns: (1) Are Foley catheters necessary for all patients? (2) Is there any advantage to early excision of the perineal burn wound!1 (3) What are die complications of perineal wounds? One hundred three patients with perineal burns were identified; mean burn size was 36% of total body surface area. There were 29 deaths in this group but none were related to the perineal burns. Of the 74 survivors 36 (49%) needed Foley catheters. However, the catheters were in place for the period of resuscitation only. There were no urethral complications associated with catheterization. Only three patients required surgery: one had a urethral meatotomy and two had split-thickness skin grafts. In conclusion, we found no genitourinary complications associated with perineal burns. Almost all perineal and genital burns were managed without indwelling catheters. Early excision of the perineal burn wound is not necessary, and most of these wounds will heal satisfactorily without grafting.

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

The critical importance of play in a child's life and, more specifically, to successful adaptation to trauma and disability is illustrated in the case report of a severely burned 3-year-old. Loss of interest in play is frequently seen in depressed children and in children whose physical ability to play has been constrained by physical illness, injury, or acquired disability. Flay is important to the development of cognition, affectivity, and social learning, dimensions central to coping behavior. The aim of therapeutic treatment of a child whose interest in and ability to play have significantly declined is to physically and psychologically mobilize the patient to restore play and to free up the emotions, enhancing the child's ability to actively participate in and optimally benefit from the rehabilitation program. Clinical analysis of a 3-year-old's symbolic play and therapeutic interventions are presented.

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

A CO2laser fire in the laryngotracheobronchial tree occurred because of an increase in fraction of inspired oxygen to greater than 40%. An endotracheal tube was ignited and caused a severe burn of respiratory mucosa that required treatment in a burn intensive care unit. The patient had surprisingly few immediate respiratory complications and was discharged from the hospital 25 days after the burn.

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Two cases that show delayed autograft loss secondary to late polymicrobial infection in patients whose test results are positive for the human immunodeficiency virus (HIV-positive patients) are presented. Mechanisms of immune dysfunction in HIV-positive patients are reviewed, and speculation on the possible contribution of polymorphonuclear or other immune dysfunction to the graft failure in these patients is presented. Questions are raised regarding the prognostic importance of HIV positivity in patients with burns and the need for special surgical considerations in these patients. The issue of transmissibility of HIV in the burn unit setting is addressed, and infection control is discussed.

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Branhamella catarrhalis, a common inhabitant of the upper respiratory tract, has been identified recently as a cause of lower airway infection. In this report we present a case ofB. catarrhalispneumonia and bacteremia in a child with smoke inhalation as the first description of invasive disease involving this organism in a traumatized airway. In addition, other pediatric cases ofB. catarrhalisbacteremia are reviewed, suggesting immunocompromise as a risk factor.

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

With the advent of cyclosporine, a powerful and selective immunosuppressant, comes resurgence of a long-sought goal: to transplant modules of allointegumentary/musculoskeletal tissues or components thereof for the repair of peripheral tissue defects. Because these modules of integumentary and/or musculoskeletal tissue are actually composites of various tissues, they are also known as composite tissue allografts. The immediate goal of the studies reviewed herein is to lay the foundation in transplant immunobiology for the clinical exploitation of composite tissue allografts. The objective of these continuing studies is to induce permanent acceptance of composite tissue allografts. The value of such grafts lies in their potential for complete functional and cosmetic restoration in the surgical reconstruction of tissue after full-thickness burn injury. The initial results of basic experiments with cyclosporine are extremely encouraging in regard to the clinical potential for integumentary/musculoskeletal grafts in reconstructive allotransplantation.

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

We report on the use of a modified Schiotz tonometer to evaluate the effects of therapies on burn scars. It is now possible to quantify the course of cicatrization with tonometry. Because tonometry affords a precise evaluation of burn scar diagnosis and prognosis, it is possible to avoid arbitrary clinical evaluation of the burn scarring process.

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1990

数据来源: OVID