Egeland Brent, More Sunita, Buchman Steven R, Cederna Paul S
Department of Surgery, Section of Plastic Surgery, University of Michigan Health Systems, Ann Arbor, Michigan, USA.
J Craniofac Surg. 2008 Jul;19(4):960-9. doi: 10.1097/SCS.0b013e318175f451.
Despite significant burn treatment advances, modern multidisciplinary care, and improved survival after burns, facial burn scars remain clinically challenging. Achieving a successful reconstruction requires a comprehensive approach, entailing many advanced techniques with an emphasis on preserving function and balancing intricate aesthetic requirements. Pediatric facial burns present the same reconstructive challenges seen in adults, with additional developmental and psychologic concerns. In this paper, we describe the basic principals of facial burn care in the pediatric burn population, with a specific focus on lower-eyelid burn ectropion and oral commissure burn scar contracture leading to microstomia. Several cases are demonstrated.
尽管烧伤治疗取得了重大进展，采用了现代多学科护理方法，烧伤后的生存率也有所提高，但面部烧伤疤痕在临床上仍然具有挑战性。要实现成功的重建需要采取综合方法，涉及许多先进技术，重点是保留功能并平衡复杂的美学要求。小儿面部烧伤面临着与成人相同的重建挑战，同时还存在额外的发育和心理问题。在本文中，我们描述了小儿烧伤人群面部烧伤护理的基本原则，特别关注下眼睑烧伤外翻和口角烧伤疤痕挛缩导致小口畸形。文中展示了几个病例。
