Sadove A M, Jones J E, Lynch T R, Sheets P W
Indiana University School of Medicine, Indianapolis.
J Burn Care Rehabil. 1988 Jul-Aug;9(4):391-5. doi: 10.1097/00004630-198807000-00015.
Perioral burns are the most common electrical injury of childhood and may produce significant deformity. A study conducted between 1980 and 1983 of 15 patients with perioral electrical burns outlines the conservative, nonsurgical management of these injuries using burn appliance therapy. Final results--including lip length, scar appearance, vermilion quality, and lip roll--were assessed and compared to early and conservative excisional techniques. Burn appliance therapy results were equivalent to results of excisional techniques. Burn appliance therapy additionally preserved the potential for secondary cosmetic repair. Appliance therapy may therefore reduce the number of surgical revisions required to achieve an acceptable results with a concurrent decrease of in-patient hospital days and total patient cost. We believe that nonsurgical management of perioral burns with use of a burn appliance is the treatment of choice for these injuries.
口周烧伤是儿童最常见的电损伤，可能导致严重畸形。1980年至1983年对15例口周电烧伤患者进行的一项研究概述了使用烧伤矫治器疗法对这些损伤进行保守、非手术治疗的方法。评估了最终结果——包括唇长、瘢痕外观、唇红质量和唇卷——并与早期保守切除技术的结果进行了比较。烧伤矫治器疗法的结果与切除技术的结果相当。烧伤矫治器疗法还保留了二次美容修复的可能性。因此，矫治器疗法可能会减少为获得可接受结果所需的手术修复次数，同时减少住院天数和患者总费用。我们认为，使用烧伤矫治器对口周烧伤进行非手术治疗是这些损伤的首选治疗方法。
