Absence of pathological scarring in the donor site of the scalp in burns: An analysis of 295 cases

Farina, Jayme Adriano; Freitas, Frederico Alonso Sabino de; Ungarelli, Luís Fernando; Rodrigues, Janine Moreira; Rossi, Lídia Aparecida

doi:10.1016/j.burns.2009.11.015

Cited by 19 publications

(16 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Curiously, pathological scars are rare on the scalp. Farina Jr et al recently described a casuistic study of 413 surgical procedures involving collection of thin skin grafts from the scalp, without development of HTSs or keloids among 295 cases over a period of ten years (44). …”

Section: Introductionmentioning

confidence: 99%

Update on hypertrophic scar treatment

Rabello¹,

Souza²,

Júnior³

2014

Clinics

217

148

View full text Add to dashboard Cite

Scar formation is a consequence of the wound healing process that occurs when body tissues are damaged by a physical injury. Hypertrophic scars and keloids are pathological scars resulting from abnormal responses to trauma and can be itchy and painful, causing serious functional and cosmetic disability. The current review will focus on the definition of hypertrophic scars, distinguishing them from keloids and on the various methods for treating hypertrophic scarring that have been described in the literature, including treatments with clearly proven efficiency and therapies with doubtful benefits. Numerous methods have been described for the treatment of abnormal scars, but to date, the optimal treatment method has not been established. This review will explore the differences between different types of nonsurgical management of hypertrophic scars, focusing on the indications, uses, mechanisms of action, associations and efficacies of the following therapies: silicone, pressure garments, onion extract, intralesional corticoid injections and bleomycin.

show abstract

Section: Introductionmentioning

confidence: 99%

Update on hypertrophic scar treatment

Rabello¹,

Souza²,

Júnior³

2014

Clinics

217

148

View full text Add to dashboard Cite

show abstract

“…Other reported advantages are the faster epithelialisation of the scalp [ 9 ] and good colour matching [ 10 ] with the skin of the face. The faster epithelialisation is due to the high amount of dermal appendages—and thus, a substantial supply of follicular epithelial stem cells—and the scalp’s rich vascularity [ 3 , 4 , 6 , 7 , 9 ]. This allows for multiple harvests from the same site [ 3 , 5 – 7 , 9 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

The scalp as a donor site for skin grafting in burns: retrospective study on complications

Roodbergen

Vloemans

Rashaan³

et al. 2016

Burns &Amp; Trauma

View full text Add to dashboard Cite

BackgroundSplit skin grafting (SSG) is the cornerstone in the treatment of deep burns and large skin defects. Frequently used donor sites are the thigh, abdomen and buttocks. The scalp is less common while considered as a reliable donor site. Advantages are a large surface area, rapid wound healing, cosmetically favourable results and multiple harvests from the same donor site. Complications include scab formation, chronic folliculitis and alopecia but have been recorded sporadically in previous studies. This article evaluates the complication rate of the scalp donor site in the treatment of deep burns in the Beverwijk Burn Centre.MethodsA retrospective study was performed of all patients who received a skin graft from the scalp at the Beverwijk Burn Centre between January 2004 and December 2012. Data were collected from medical files of included patients, including gender, age, type of burn (scald, flame, other) and total body surface area (TBSA) burned at the time of first surgery. Postoperative variables were healing time of the donor site and incidence of complications. During follow-up, the incidence of late complications was reviewed.ResultsA total number of 105 grafts were analysed in 93 patients: 58 males (62 %) and 35 females (38 %), with a median age of 2 years and 3 months old. Of the patients, 30 (32 %) had flame burns and 57 (61 %) had scald burns. Eighty-seven percent of patients had a TBSA burned of 5 % or less. All donor sites healed within 14 days. No alopecia or scar hypertrophy developed at the donor sites. Two patients (2.2 %) developed folliculitis; one patient (1.1 %) showed scab formation.ConclusionsThe scalp as a donor site in our Burn Centre shows a comparable short-term complication rate to the previous literature, with quick healing and no long-term complications. Therefore, we propose the consideration of the scalp as a primary donor site, especially in young children, where the scalp offers a larger donor site area than the buttocks or thighs.

show abstract

“…As áreas doadoras mais comumente usadas em enxertias cutâneas são a coxa e o couro cabeludo, sendo este último mais vantajoso por apresentar menor tempo de cicatrização (cerca de sete dias), menor risco de complicações, além de bom resultado estético, uma vez que a cicatriz resultante da epitelização pode ser escondida pelos cabelos. Por outro lado, a coxa é de fácil acesso, apresenta uma maior superfície, entretanto resulta em maior probabilidade de cicatrização hipertrófica (Weyandt et al, 2009;Farina-Júnior et al, 2010;Chan et al, 2014).…”

Section: Tabela 4 -unclassified

“…A epitelização da área doadora é influenciada pela espessura dos enxertos, podendo ocorrer nova retirada em intervalos de duas semanas no couro cabeludo, dependendo da necessidade de área receptora. Para a coxa, dificilmente é possível nova retirada do mesmo local, pela maior probabilidade de cicatrização inadequada (Farina-Júnior et al, 2010;Ottomann et al, 2010;Vana;Fontana;Ferreira, 2010). Podem ocorrer também intercorrências relacionadas como infecção, foliculite, despigmentação da pele (Farina-Junior et al, 2010;Dermitas et al, 2010).…”

Section: Tabela 4 -unclassified

“…As áreas doadoras podem, como em qualquer lesão cutânea, desencadear complicações no processo de epitelização com produção de exsudato, edema e crostas, que podem atrasar reparo da mesma (Carvalho et al, 2009;Farina-Júnior et al, 2010;Roodbergen et al, 2016 (Gabison et al, 2015). A definição de crostas é estabelecida pela produção de exsudato que é produzido principalmente nas primeiras 48 a 72 horas (Artz;Bronwell;Sako, 1995), que se entrelaça com os pelos, formando uma massa espessa (crosta seca) impedindo seu crescimento dos mesmos (Engrav;Grube;Bubak, 1990).…”

Section: Intervenções Terapêuticasunclassified

See 1 more Smart Citation

Ação da polaridade na estimulação elétrica transcutânea para o tratamento de áreas doadoras de enxertos autógenos em pacientes queimados: estudo clínico randomizado cego

Carvalho¹

View full text Add to dashboard Cite

Absence of pathological scarring in the donor site of the scalp in burns: An analysis of 295 cases

Cited by 19 publications

References 25 publications

Update on hypertrophic scar treatment

Update on hypertrophic scar treatment

The scalp as a donor site for skin grafting in burns: retrospective study on complications

Ação da polaridade na estimulação elétrica transcutânea para o tratamento de áreas doadoras de enxertos autógenos em pacientes queimados: estudo clínico randomizado cego

Contact Info

Product

Resources

About