Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Trauma-Surgical Critical Care, Grady Memorial Hospital, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Am Surg. 2021 May;87(5):741-746. doi: 10.1177/0003134820952828. Epub 2020 Nov 10.
Pediatric head and neck burns (HNBs) require special attention due to the potential for long-term disfigurement, functional impairment, and psychosocial stigma.
We performed a retrospective review of patients <18 years old admitted to Grady Memorial Hospital with a diagnosis of HNB from 2009-2017. Demographic data, burn characteristics, management, and hospital course were analyzed.
Of the 272 patients included, 65.4% were male with a mean age of 63.2 months. Burn mechanism was primarily secondary to scalding liquids (70.2%) or flames (23.9%). The average total body surface area involved was 10.3%, and 3.0% for the head/neck. Average length of stay was 5.2 days and overall mortality was 1.1%. Twenty-five patients (9.2%) required surgery in the acute setting, and 5 (1.8%) required secondary surgery for hypertrophic scarring or contracture.
Pediatric HNBs occur most commonly in males <6 years old secondary to scalding liquids or open flames. Most patients can be managed nonoperatively without long-term sequelae.
小儿头颈部烧伤（HNB）需要特别注意，因为其可能导致长期毁容、功能障碍和社会心理耻辱。
我们对 2009 年至 2017 年期间因 HNB 而被收入 Grady Memorial 医院的 <18 岁患者进行了回顾性研究。分析了人口统计学数据、烧伤特征、治疗方法和住院过程。
在 272 名患者中，65.4%为男性，平均年龄为 63.2 个月。烧伤机制主要是继发性烫伤液体（70.2%）或火焰（23.9%）。平均总体表面积为 10.3%，头/颈部为 3.0%。平均住院时间为 5.2 天，总死亡率为 1.1%。25 名患者（9.2%）在急性期需要手术，5 名患者（1.8%）因肥厚性瘢痕或挛缩需要二次手术。
小儿 HNB 最常见于<6 岁的男性，由烫伤液体或明火引起。大多数患者可以非手术治疗，不会产生长期后遗症。
