Barone C M, Hulnick S J, Grigsby de Linde L, Sauer J B, Mitra A
Division of Plastic Surgery, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania.
J Burn Care Rehabil. 1994 Jul-Aug;15(4):335-40. doi: 10.1097/00004630-199407000-00008.
A retrospective analysis of 29 patients who sustained perioral electrical burns was undertaken. Children were divided into three groups: (group 1) no surgery and no splint (n = 21), (group 2) nonsurgical management with splint appliance (n = 8), and (group 3) commissuroplasty (n = 9). Mean age was 3 years, and minimum follow-up was 1 year. Subjective evaluation of standard photographs was performed by six surgeons. Group 2 had a less noticeable scar and more normal lip parameters. Group 3 and group 1 had similar percent scar involvement and overall poor subjective scores. All evaluators felt that commissuroplasty (group 3) improved patients' appearance compared with no surgery and no splint (group 1). Therefore the application of our easily constructed splint alone yielded the best cosmetic results.
对29例口周电烧伤患者进行了回顾性分析。患儿被分为三组：（第1组）不手术且不使用夹板（n = 21），（第2组）采用夹板器具进行非手术治疗（n = 8），以及（第3组）进行口角成形术（n = 9）。平均年龄为3岁，最短随访时间为1年。由6名外科医生对标准照片进行主观评估。第2组的瘢痕不太明显，唇部参数更接近正常。第3组和第1组的瘢痕累及百分比相似，主观评分总体较差。所有评估者都认为，与不手术且不使用夹板（第1组）相比，口角成形术（第3组）改善了患者的外观。因此，单独应用我们易于制作的夹板产生了最佳的美容效果。
