9th Department, Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
Department of General Surgery, National Center of Gerontology, Institute of Geriatric Medicine, Beijing Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
J Craniofac Surg. 2023 Sep 1;34(6):1795-1798. doi: 10.1097/SCS.0000000000009344. Epub 2023 May 15.
Cervical burn scar contracture (BSC) affects many important neck functions and the patients' quality of life. However, it remains unclear which patients have a higher risk of neck BSCs. This study aimed to describe the epidemiology and identify the independent risks of cervical BSC formation and severity. Clinical and demographic data of 106 patients with burn scars were retrospectively collated and analyzed from 3 different Chinese hospitals between December 2016 and December 2020. Both univariate and multivariate logistic regression analyses were performed to identify the independent risks for BSC formation and severity at 12 months postburn. Lateral flexion was the most common plane of motion (POM) limited by contractures (29.4%), whereas the POM most commonly limited by severe contractures was the extension (24.6%). Most patients with contractures had those in 3 to 4 POMs (72.1%). Neck skin grafting was an independent risk factor for BSC formation, and cervical and cervicothoracic skin grafting were independent risk factors for BSC severity. These results may help to identify high-risk patients with contractures in the early stages of burns to carry out individualized early prevention and treatment.
宫颈烧伤后瘢痕挛缩（BSC）影响许多重要的颈部功能和患者的生活质量。然而，目前仍不清楚哪些患者发生颈部 BSC 的风险更高。本研究旨在描述流行病学，并确定形成和严重程度与 BSC 独立相关的风险因素。我们从 2016 年 12 月至 2020 年 12 月，从 3 家不同的中国医院回顾性地收集了 106 例烧伤瘢痕患者的临床和人口统计学数据，并进行了分析。我们进行了单因素和多因素逻辑回归分析，以确定烧伤后 12 个月 BSC 形成和严重程度的独立风险因素。挛缩最常限制的运动平面（POM）是侧屈（29.4%），而严重挛缩最常限制的 POM 是伸展（24.6%）。大多数有挛缩的患者有 3 到 4 个 POM 受累（72.1%）。颈部植皮是 BSC 形成的独立危险因素，而颈部和颈胸部植皮是 BSC 严重程度的独立危险因素。这些结果可能有助于在烧伤的早期识别出有挛缩风险的高危患者，从而进行个体化的早期预防和治疗。
