POST-BURN SKIN DEFORMITIES OF FACE AND NECK REGION IN PEDIATRIC PATIENTS: SINGLE-STAGE TREATMENT USING COLLAGEN ELASTIN MATRIX.

Çağlayan Yağmur, Nuh Evin, Murat Sinan Engin, Tekin Şimşek, İsmail Küçüker, Ahmet Demir

Özet


Introduction: Treating severe post-burn deformities of face and neck region in pediatric population may become challenging because of technical difficulties (e.g. limited full thickness skin graft donor site, limited flap options, unavailability for expander placement) and increased donor site morbidity (e.g related to flap and graft donor sites)
Patients and Method: In this study we present single-stage treatment of severe post-burn skin deformities of face and neck region in pediatric patients using collagen-elastin matrix (Matriderm®) combined with partial thickness skin grafts.
All cases (n:8) were operated for only one region. Following release of contractures, and/or excision of wide excessive/unfavorable dermal scars, defects were reconstructed using collagen-elastin matrix (Matriderm®) combined with partial thickness skin grafts. The final functional and aesthetic results were evaluated using photography and examination.
Results: Total number patients was 8 (4m, 4f). The ages were between 2 years to 11 years. The deformities were in the form of contractures and/or excessive dermal scarring. The involved regions were face (n:3) and neck (n:5), The grafts yielded favorable pilication and texture, no recurrence in excessive dermal scarring was observed. All contractures were healed unproblematically. Two patients were reoperated for regrafting caused by minor graft loss (5 % and 12 % of total area respectively).
Conclusion: In this study we observed that collagen elastin matrix combined with partial thickness skin grafts provides a favorable option for treatment of pediatric late post burn complications in face and neck region with limited surgical options.

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Referanslar


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Online ISSN:1308-8475
Basılı ISSN:1300-6878 (önceki)

Türk Plastik Rekonstrüktif ve Estetik Cerrahi Dergisi (Turk J Plast Surg),
Türk Plastik Rekonstrüktif ve Estetik Cerrahi Derneği'nin, Estetik Plastik Cerrahi Derneği'nin, Türkiye Interplast Derneği'nin ve Çene Yüz Cerrahları Derneği'nin yayın organıdır.