Foley P, Jeeves A, Davey R B, Sparnon A L
Burns Service, Department of Paediatric Surgery, Women's and Children's Hospital, 72 King William Road, North Adelaide, SA 5006, Australia.
Burns. 2008 May;34(3):412-7. doi: 10.1016/j.burns.2007.05.001. Epub 2007 Sep 17.
Chest burns in pre-pubescent girl are commonly seen in paediatric burn units. These patients are at risk of significant long-term problems with scarring and breast development requiring reconstructive surgery many years after the initial burn. Admissions to our unit over a 20-year period were reviewed to determine the frequency of these burns. Patients whose burns required surgical debridement and split skin grafting, and who would now be post-pubertal were included in the study. We attempted to trace and contact these patients and were able to find 13 out of 22 patients, of whom 11 agreed to participate. The mechanism of injury in six was scalds and the other five had flame burns. Mean age of patients with scald was 18 months and for flame burns 4 years 8 months. These women required a variety of reconstructive procedures to improve breast appearance including contracture releases, dermabrasion, breast augmentation and contralateral breast reduction. Girls burned as young children require follow-up and appropriate referral long after the burn to ensure good cosmetic results are achieved during and after puberty.
青春期前女孩胸部烧伤在儿科烧伤病房很常见。这些患者有出现严重长期问题的风险，如疤痕形成和乳房发育问题，在初次烧伤多年后可能需要进行重建手术。回顾了我们科室20年间的收治情况，以确定此类烧伤的发生率。纳入研究的患者为烧伤后需要手术清创和植皮、且现已处于青春期后的患者。我们试图追踪并联系这些患者，在22名患者中找到了13名，其中11名同意参与。6名患者的致伤机制为烫伤，另外5名是火焰烧伤。烫伤患者的平均年龄为18个月，火焰烧伤患者为4岁8个月。这些女性需要进行各种重建手术来改善乳房外观，包括挛缩松解、磨皮、隆胸和对侧乳房缩小术。幼儿期烧伤的女孩在烧伤后很长时间都需要随访和适当转诊，以确保在青春期期间及之后获得良好的美容效果。
