Kang Steve, Kufta Kenneth, Sollecito Thomas P, Panchal Neeraj
University of Pennsylvania School of Dental Medicine, Robert Schattner Center, Oral Surgery Clinic, 240 S. 40th Street, Philadelphia, PA 19104, United States.
University of Pennsylvania School of Dental Medicine, Robert Schattner Center, Oral Surgery Clinic, 240 S. 40th Street, Philadelphia, PA 19104, United States; University of Pennsylvania Health System, Perelman Center for Advanced Medicine, South Pavilion, 4th Floor, 3400 Civic Center Boulevard, Philadelphia, PA 19104, United States.
Burns. 2018 Aug;44(5):1065-1076. doi: 10.1016/j.burns.2017.09.006. Epub 2017 Oct 9.
Oral mucosa follows a distinctly different trajectory of wound healing than skin. Although there are contemporary guidelines regarding treatment of burns to the skin, there is no standard of care specific to intraoral burns. This narrative review proposes an evidence-based treatment algorithm for the management of intraoral burns. Data was collated through a comprehensive review of the literature and only included studies that have reported particular success with favorable short- and long-term prognoses. In order to critically appraise the strength of the treatment recommendations, the GRADE criteria was applied to each arm of the algorithm. The algorithm was initially subdivided into the four primary etiologies of intraoral burns - thermogenic, cryogenic, chemical, electrical. Our findings emphasize the importance of conservative modalities of intra-oral burn treatment.
口腔黏膜的伤口愈合轨迹与皮肤明显不同。虽然有关于皮肤烧伤治疗的当代指南，但对于口腔内烧伤尚无特定的护理标准。这篇叙述性综述提出了一种基于证据的口腔内烧伤管理治疗算法。通过对文献的全面综述整理数据，仅纳入了那些在短期和长期预后方面取得特别成功报道的研究。为了严格评估治疗建议的力度，将GRADE标准应用于该算法的每个环节。该算法最初细分为口腔内烧伤的四种主要病因——热源性、低温性、化学性、电性。我们的研究结果强调了口腔内烧伤保守治疗方式的重要性。
