MODERN ASPECTS OF SURGICAL TREATMENT AND PREVENTION OF POST-BURN SCAR CONTRACTURES OF THE NECK
https://doi.org/10.25207/1608-6228-2017-24-3-83-88
Abstract
Aim. The aim of our work was the analysis of the methods and results of surgical treatment and prevention of post-burn scar contractures of the neck in children and adults in Krasnodar Krai.
Material and methods. Analysis was made of the treatment of 43 patients aged from 2 to 58 years who were treated in the Burn Department of the Research Institute – Regional Clinical Hospital №1 named after Professor S.V. Ochapovsky in 2006–2016.
Results. Children underwent plastics by local tissues mostly (64%), and adults – free skin plastics (55,6%). A direct result of the treatment was removal of the contracture and restoration of the neck skin. The early results from 1 to 11 months inclusively, were analyzed in 21 (84%) child and 12 (66,7%) adult patients. The remote results were followed up in 13 (52%) pediatric patients in a period of 1 to 10 years, in 8 (44,4%) adult patients in terms from 1 to 4 years.
Conclusion. Dissection and excision of the cicatrices simultaneously allows radically elimination of cicatricial deformity of the neck. The nature of the cicatricial skin lesions, the degree of contracture and the presence of cicatricial changes of adjacent areas tissues determine the way of the plastic closure of the wound.
About the Authors
A. V. POLYAKOV
SBHI “Research Institute – Regional Clinical Hospital №1 named after Professor S. V. Ochapovsky” of the Ministry of Healthcare of the Krasnodar Krai
Kuban State Medical University, Russian Ministry of Health
Russian Federation
Russian Federation
Russia, 350086, Krasnodar, 1 Maya str., 167; tel.: (861) 215-35-23
Department of General Surgery
Russia, 350063, Krasnodar, Sedina str. 4
S. B. BOGDANOV
SBHI “Research Institute – Regional Clinical Hospital №1 named after Professor S. V. Ochapovsky” of the Ministry of Healthcare of the Krasnodar Krai
Kuban State Medical University, Russian Ministry of Health
Russian Federation
Russian Federation
Russia, 350086, Krasnodar, 1 Maya str., 167; tel.: (861) 215-35-23
Department of General Surgery
Russia, 350063, Krasnodar, Sedina str. 4
Y. P. SAVCHENKO
SBHI “Research Institute – Regional Clinical Hospital №1 named after Professor S. V. Ochapovsky” of the Ministry of Healthcare of the Krasnodar Krai
Kuban State Medical University, Russian Ministry of Health
Russian Federation
Russian Federation
Russia, 350086, Krasnodar, 1 Maya str., 167; tel.: (861) 215-35-23
Department of General Surgery
Russia, 350063, Krasnodar, Sedina str. 4
V. A. ALADYNA
SBHI “Research Institute – Regional Clinical Hospital №1 named after Professor S. V. Ochapovsky” of the Ministry of Healthcare of the Krasnodar Krai
Kuban State Medical University, Russian Ministry of Health
Russian Federation
Russian Federation
Russia, 350086, Krasnodar, 1 Maya str., 167; tel.: (861) 215-35-23
Department of General Surgery
Russia, 350063, Krasnodar, Sedina str. 4
References
1. Gurukov Sh. R. Opyt lechenija ogranichennyh rubcov lica i shei, plastika mestnymi tkanjami. Sbornik nauchnyh trudov I sezda kombustiologov Rossii. M., 2005; 228-229. (In Russ.)
2. Azolov V. V., Dmitriev G. I. Hirurgicheskoe lechenie posledstvij ozhogov. N. Novgorod: OAO “Dzerzhinskaja tipografija”, 1995; 183 s. (In Russ.)
3. Madazimov M. M. Hirurgicheskoe lechenie rubcovyh deformacij shei. Skoraja medicinskaja pomoshh'. 2006; 7(3): 237-238. (In Russ.)
4. Shapovalov S. G., Suhoparova E. P. Posleozhogovaja kozhno-rubcovaja deformacija oblasti shei. Sbornik nauchnyh trudov II sezda kombustiologov Rossii. M., 2008: 206- 207. (In Russ.)
5. Shurova L.V., Tkachenko B.A., Pronin G.P., Ryzhov A.E., Netesova E.V. Osobennosti intubacii u detej s posleozhogovymi rubcami lica i shei. Vestnik Rossijskoj voenno- medicinskoj akademii. Prilozhenie. 2010; 1 (29): 148. (In Russ.)
6. Vaganova N. A., Moroz V. Ju., Sarygin P. V. Sovremennye vozmozhnosti balonnoj dermotenzii i rekonstruktivnovosstanovitel'noj hirurgii volosistoj chasti golovy, lica i shei. Skoraja medicinskaja pomoshh'. 2006; 7(3): 226-227. (In Russ.)
7. Judenich A.A., Sarygin P.V., Kafarov T.G., Popov S.V. Mikrohirurgicheskaja autotransplantacija tkanej pri obshirnyh rubcovyh deformacijah i kontrakturah shei. Kombustiologija. 2001; 6. Rezhim dostupa: http://combustiolog.ru/number_journal/nomer-06-2001. (In Russ.)
8. Grishkevich V. M. Trapeze-flap plasty: Effective method for postburn neck contracture elimination. Burns. 2010; 36: 383-388.
9. Khalatbari B., Bakhshaeekia A. Ten-year experience in face and neck unit reconstruction using tissue expanders. Burns. 2013; 39: 522-527.
10. Tsai F.-C., Mardini S., Chen D.-J., Yang J.-y., Hsieh M.-S. The classification and treatment algorithm for post-burn cervical contractures with free flaps. Burns. 2006; 32: 626-633.
11. Kazarezov M. V., Koroleva A. N., Golovnev V. A. Kontraktury. Novosibirsk: Novosibirskaja GMA, 2002; 295. (In Russ.)
12. Sarygin P.V., Moroz V.Ju., Judenich A.A., Vaganova N.A. Taktika hirurgicheskogo lechenija u bol'nyh s posleozhogovymi rubcovymi deformacijami i kontrakturami shei. Sbornik nauchnyh trudov I sezda kombustiologov Rossii. M., 2005; 239-240. (In Russ.)
13. Judenich V. V., Grishkevich V. M. Rukovodstvo po reabilitacii obozhzhennyh. M.: Medicina, 1986; 368. (In Russ.)
14. Ninan S., Gupta A. K., Ramkumar G. A technique in positioning the neck during mentosternal contracture release. Burns. 2003; 29: 613-614.
15. Sharobaro V.I., Moroz V.Ju., Glabaj L.N., Romanec O.P. Sroki i jetapnost' lechenija posleozhogovyh rubcovyh deformacij. Sbornik nauchnyh trudov II sezda kombustiologov Rossii. M., 2008; 207. (In Russ.)
16. Serghiou M.A., Niszczak J., Parry I., Richard R. Clinical practice recommendations for positioning of the burn patient. Burns. 2016; 42: 267-275.
Review
For citations:
POLYAKOV A.V., BOGDANOV S.B., SAVCHENKO Y.P., ALADYNA V.A. MODERN ASPECTS OF SURGICAL TREATMENT AND PREVENTION OF POST-BURN SCAR CONTRACTURES OF THE NECK. Kuban Scientific Medical Bulletin. 2017;(3):83-88. (In Russ.) https://doi.org/10.25207/1608-6228-2017-24-3-83-88
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