Ziegler Thomas, Cakl Thomas, Schauer Johannes, Pögl Dieter, Abdelkarim Ahmad, Kempny Tomas
Division of Plastic and Reconstructive Surgery, Department of Surgery, Klinikum Wels-Grieskirchen, Austria.
World J Plast Surg. 2020 Jan;9(1):82-87. doi: 10.29252/wjps.9.1.82.
Burn injuries in newborns are particularly complex cases. Since these patients are rare, there is little experience and no existing standardized treatment. This report examines a case of accidental second to third-degree burning of the heel and toes on the left foot in a new-born girl. The burns covered an estimated 1% of the total body surface area (TBSA). After an initial debridement and 32 days of non-surgical wound therapy with Adaptic® fat gauze dressings, we were able to achieve an aesthetically and functionally satisfactory result including the complete preservation of all toes. Modern wound treatment following the principle of less frequent dressing changes allows the burn wound to have better re-epithelialization. New findings in stem cell research indicate that the high proportion of mesenchymal stem cells (MSC) in postnatal blood is also involved in the regeneration and healing of burns. To our knowledge, this is the first case report dealing with initial non-surgical combustion therapy in a newborn. In order to eliminate a scar contracture, we carried out a Z-plasty one year later.
新生儿烧伤是特别复杂的病例。由于这类患者很罕见，几乎没有相关经验，也不存在现有的标准化治疗方法。本报告探讨了一名新生女婴左脚足跟和脚趾意外二度至三度烧伤的病例。烧伤面积估计占全身表面积（TBSA）的1%。在进行初步清创以及使用Adaptic®脂肪纱布敷料进行32天的非手术伤口治疗后，我们取得了美观和功能上令人满意的结果，包括所有脚趾均得以完整保留。遵循减少换药频率原则的现代伤口治疗方法能使烧伤创面实现更好的上皮再形成。干细胞研究的新发现表明，出生后血液中高比例的间充质干细胞（MSC）也参与烧伤的再生和愈合过程。据我们所知，这是第一例关于新生儿初始非手术烧伤治疗的病例报告。为了消除瘢痕挛缩，我们在一年后进行了Z成形术。
