Leake J E, Curtin J W
Clin Plast Surg. 1984 Oct;11(4):669-83.
The acceptable state of the art for commissure electric burns of the mouth in children in the past was to advocate conservative treatment, allowing spontaneous healing to be followed by reconstructive procedures. These statements were made because of the difficulty of assessing the degree of initial injury, the loss of valuable normal tissue in early excision and reconstruction, and the minor role played by infection in healing of local electric burns particularly in this anatomic area. Most authors feel that maximum tissue preservation and functional restoration could best be achieved by delay of surgery until the eschar had separated and the scar had softened. Another school of surgeons believe that scarring, distortion, and secondary infection can be circumvented by timely, early surgical intervention. More recently the fabrication and use of a "dynamic microstomia prevention splint" appears to be beneficial in eliminating the need for or decreasing the degree of surgery in children with electric burns of the commissure of the mouth.
过去，对于儿童口腔口角电烧伤，公认的先进治疗方法是主张保守治疗，等待其自然愈合后再进行重建手术。做出这些论断是因为难以评估初始损伤的程度、早期切除和重建会损失宝贵的正常组织，以及感染在局部电烧伤愈合过程中所起的作用较小，尤其是在这个解剖区域。大多数作者认为，将手术推迟到焦痂分离且瘢痕软化时进行，能最大程度地保留组织并恢复功能。另一派外科医生则认为，及时进行早期手术干预可以避免瘢痕形成、畸形和继发性感染。最近，“动态预防小口畸形夹板”的制作和使用似乎有助于减少口角电烧伤儿童的手术需求或降低手术程度。
