Section of Plastic & Reconstructive Surgery, University of Chicago, Illinois, USA.
Burn & Complex Wound Center, University of Chicago Medical Center, Illinois, USA.
J Burn Care Res. 2022 May 17;43(3):530-533. doi: 10.1093/jbcr/irac031.
Hair braiding that incorporates synthetic extensions has increased in popularity across all age groups. As part of the styling process, the ends of the braid are commonly dipped in scalding water; an increasing number of patients have presented to our center after containers of recently boiled water are accidentally tipped over and spilled onto patients. A retrospective chart review was performed of all patients who sustained burn injuries related to at-home hair braiding presenting to an ABA-verified burn center between January 1, 2006 and July 31, 2020. A total of 41 patients presented over the study period, and the frequency of this type of burn increased over time, with 54% of injuries occurring in the past 3 years (2018-2020). The mean patient age was 7.5 years, and the majority of patients were under 18 years of age (97%), female (95%), and African-American (98%). Seventy-three percent of injuries occurred in the home and 88% involved another person in the hair braiding process. The mean TBSA burned was 5% (range 1-20%). The most commonly involved areas were the back (54%), thigh/leg (37%), and neck (24%). Ninety percent were partial-thickness injuries only, with 10% having some degree of full-thickness injury. Ninety percent of patients required inpatient admission, and 34% of patients required at least one operative procedure. Hair braiding, with the use of scalding water to seal and set the ends of braids, can lead to burn injuries that require hospitalization and the need for surgical intervention.
头发编织，包括合成延伸，在所有年龄段的人群中越来越受欢迎。作为造型过程的一部分，辫子的末端通常会浸入滚烫的水中；越来越多的患者在我们中心就诊，因为装有刚煮沸的水的容器意外翻倒并溅到患者身上。对 2006 年 1 月 1 日至 2020 年 7 月 31 日期间在经 ABA 认证的烧伤中心就诊的与在家中进行头发编织相关的烧伤患者进行了回顾性图表审查。在研究期间共有 41 名患者就诊，这种类型的烧伤频率随着时间的推移而增加，其中 54%的损伤发生在过去 3 年（2018-2020 年）。患者的平均年龄为 7.5 岁，大多数患者年龄在 18 岁以下（97%），女性（95%），非裔美国人（98%）。73%的损伤发生在家庭中，88%的损伤涉及头发编织过程中的另一个人。平均烧伤面积为 5%（范围 1-20%）。最常涉及的部位是背部（54%），大腿/腿部（37%）和颈部（24%）。90%的损伤为部分厚度损伤，10%的损伤有一定程度的全厚度损伤。90%的患者需要住院治疗，34%的患者需要至少一次手术。头发编织，使用滚烫的水来密封和固定辫子的末端，可能会导致烧伤，需要住院治疗和手术干预。
