Fabrication of silicone oral splints for severe burn microstomia in children

Al‐Qattan, Mohammad M.; Rasool, M.N.; Al-Kattan, Wael

doi:10.1016/j.burns.2004.08.014

Cited by 8 publications

(1 citation statement)

References 7 publications

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“…1 We know from previous studies that silicone prosthesis have shown to reduce the need of a commissuroplasty and long-term lip assessment following electrical burns. 2 Our device addresses the microstomia as well as other problems which come as a consequence to extensive facial burns. It has been difficult to objectively measure our results as our case numbers have been limited to three.…”

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confidence: 99%

Management of Extensive Facial Burns in the Intensive Care Unit

Sofos¹,

Tehrani²,

Goldsworthy³

et al. 2015

Journal of Burn Care & Research

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Perioral facial burns have a high propensity to formation of microstomia and numerous prosthetic devices have been described that can be used postoperatively to address this problem. We introduce a novel device, the Whiston Buccal Prosthesis, which is used intraoperatively and in the early postoperative period and it acts as a surgical aid to prevent or curtail microstomia, as well as to address other problems associated with facial burns. Our device has an overall 4-fold purpose; 1) it acts as a commissural and circumoral retractor, 2) as a means of counter-pressure during excision of burn eschar, 3) counter-pressure for the graft after its placement, and 4) for access to the mouth to maintain oral hygiene. It has been used on 3 patients who have benefited from all or some of the above uses. We have used this device in 3 patients thus far. One died 2 months after her operation but received benefit in the daily maintenance of oral hygiene and also the skin grafts. The other 2 patients were young adults, 19 and 20 years old at the time of injury, who after a 3-year follow-up were discharged not having required any further surgical intervention for microstomia. The Whiston Buccal Prostheses were used for a length of time between 1 and 3 months. Although limited objective evidence exists for our device, subjectively we have seen value intraoperatively, in the prevention of microstomia, the maintenance of oral hygiene, and maintenance of grafts.

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confidence: 99%