Duquennoy-Martinot V, Belkhou A, Pasquesoone L, Depoortère C, Guerreschi P
Service de chirurgie plastique, reconstructrice et esthétique, hôpital Roger-Salengro, CHRU Lille, rue Emile-Laine, 59037 Lille cedex, France.
Service de chirurgie plastique, reconstructrice et esthétique, hôpital Roger-Salengro, CHRU Lille, rue Emile-Laine, 59037 Lille cedex, France.
Ann Chir Plast Esthet. 2016 Oct;61(5):578-588. doi: 10.1016/j.anplas.2016.05.009. Epub 2016 Jun 23.
The scar of soft tissues is a permanent stigma of a trauma but it can sometimes be improved. It is more or less accepted by the patient and may be the source of a significant physical and psychosocial impact that leads to a request for a scar revision. Even if the child presents generally an excellent ability to heal, the quality of the scar depends on many factors such as the age, the type of scar or trauma and the affected body area. Thus, its aesthetic impact, functional but also on the growth of the child will be different. Moreover, these scars have a number of origins: neonatal surgery, natural history of congenital lesions or after a surgical management; surgeries for orthopedic, cardiac, craniofacial or hand birth defects and congenital malformations; or infectious or traumatic as in the case of burns and animal bites. We have many ways to try to correct or improve these scars, which use all the plastic surgery techniques. However, we need to establish for each case an appropriate management strategy with the objective of not inducing additional sequelae, respecting the growth of the child. Several techniques can be combined and the chronology of the surgical procedures must consider the school, social and family integration of the child.
软组织瘢痕是创伤留下的永久印记，但有时可以改善。患者或多或少会接受它，它可能会对身体和心理社会产生重大影响，从而导致患者要求进行瘢痕修复。即使儿童通常具有出色的愈合能力，瘢痕的质量也取决于许多因素，如年龄、瘢痕或创伤的类型以及受影响的身体部位。因此，其美学影响、功能影响以及对儿童生长的影响都会有所不同。此外，这些瘢痕有多种成因：新生儿手术、先天性病变的自然病程或手术治疗后；骨科、心脏、颅面或手部先天性缺陷和畸形的手术；或烧伤和动物咬伤等感染性或创伤性原因。我们有很多方法试图矫正或改善这些瘢痕，这些方法运用了所有整形外科技术。然而，我们需要针对每个病例制定适当的治疗策略，目的是不引发额外的后遗症，同时尊重儿童的生长发育。几种技术可以结合使用，手术程序的时间安排必须考虑到儿童的学业、社交和家庭融入情况。
