Isolierte Verbrühungen und Verbrennungen an Händen im Kleinkindesalter*

Klöti, J.; Saur, I; Jp, Pochon

doi:10.1055/s-2008-1044235

Cited by 3 publications

(18 citation statements)

References 1 publication

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“…The mean TBSA of acute burn patients was greater than 30% in eight articles 2 7 8 11 12 13 14 26 and less than 30% in six articles 3 10 18 19 23 27 . Seven articles 4 5 6 9 15 22 28 did not report the mean TBSA ( Table 1 ).…”

Section: Indications Of Graftsmentioning

confidence: 90%

“…In 21 of the 27 articles, acute burn patients were treated with a scalp split-thickness skin graft (STSG); only acute burn patients (51.6%, 1,580 of 3,062 patients) were included in 14 of 21 articles 2 6 7 8 9 10 11 13 14 18 19 22 26 27 , while the other seven of these 21 articles also included patients with postburn scars, trauma, reconstructed wounds, and other patients (34.6%, 1,058 of 3,062 patients) 3 4 5 12 15 23 28 . The other six articles without acute burn patients (13.8%, 424 of 3,062 patients) reported scalp STSG in 30 plastic surgery patients 16 , 181 elderly patients with chronic ulcers and large skin defects 17 24 , 58 patients with oncologic defects 25 , and 155 patients with otologic defects 20 21 ( Table 1 ).…”

Section: Indications Of Graftsmentioning

confidence: 99%

“…Seven studies included patients under the age of 16 years 3 9 , 10 12 14 22 26 , 11 included children and adults 4 5 6 7 8 11 18 21 , 23 24 28 , and five were adults-only 15 17 19 25 27 . Four articles 2 13 16 20 did not mention age ( Table 1 ).…”

Section: Age and Sex Distributionmentioning

confidence: 99%

“…A 9-year-old girl sustained deep burns extending from the mid-calf to the nipple, and thin skin strips of the shaved scalp were harvested with a large-bladed scalpel (Crawford 1964) 1 . Since then, many authors have reported scalp skin grafts for acute burn wounds, trauma, and surgical wounds 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 . They also reported scarless wound healing at the scalp donor site after single or multiple harvests, as well as a small number of complications.…”

Section: Introductionmentioning

confidence: 99%

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A systematic review of the scalp donor site for split-thickness skin grafting

2020

Arch Plast Surg

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Split-thickness skin grafting (STSG) is the gold standard for coverage of acute burns and reconstructive wounds. However, the choice of the donor site for STSG varies among surgeons, and the scalp represents a relatively under-utilized donor site. Understanding the validity of potential risks will assist in optimizing wound management. A comprehensive literature search was conducted of the PubMed database to identify studies evaluating scalp skin grafting in human subjects published between January 1, 1964 and December 31, 2019. Data were collected on early and late complications at the scalp donor site. In total, 27 articles comparing scalp donor site complications were included. The selected studies included analyses of acute burn patients only (21 of 27 articles), mean total body surface area (20 of 27), age distribution (22 of 27), sex (12 of 27), ethnicity (5 of 27), tumescent technique (21 of 27), depth setting of the dermatome (24 of 27), number of harvests (20 of 27), mean days of epithelization (18 of 27), and early and late complications (27 of 27). The total rate of early complications was 3.82% (117 of 3,062 patients). The total rate of late complications was 5.19% (159 of 3,062 patients). The literature on scalp skin grafting has not yet identified an ideal surgical technique for preventing donor site complications. Although scalp skin grafting provided superior outcomes with fewer donor site complications, there continues to be a lack of standardization. The use of scalp donor sites for STSG can prevent early and late complications if proper surgical planning, procedures, and postoperative care are performed.

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Section: Indications Of Graftsmentioning

confidence: 90%

Section: Indications Of Graftsmentioning

confidence: 99%

Section: Age and Sex Distributionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A systematic review of the scalp donor site for split-thickness skin grafting

2020

Arch Plast Surg

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“…The preventive and curative efficacy of compression clothing after burns has been documented by many studies [5,[8][9][10][11][12][13]. The course of healing and the success of compression treatment depend on several factors, chiefly the age of the patient, the location of the burns and the joint mobility.…”

Section: Efficacymentioning

confidence: 99%

Compression Treatment after Burns

Wienert¹

2003

Textiles and the Skin

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Simultaneous two-layer harvesting of scalp split-thickness skin and dermal grafts for acute burns and postburn scar deformities

2019

Arch Plast Surg

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BackgroundThe scalp, an excellent donor site for thin skin grafts, presents a limited surface but is rich in stem cells. The purpose of this study was to test a double harvesting procedure from the scalp and to evaluate the capacity of the dermal layer.MethodsTwo layers corresponding to a split-thickness skin graft (SSG) and a split-thickness dermal graft (SDG) were harvested from the scalp using a Zimmer dermatome during the same procedure. Healing of the scalp donor site, reason for recipient site grafting, and the percentage of graft loss were evaluated.ResultsFourteen patients, comprising six men and eight women with a mean age of 34.2 years, were treated according to our protocol. The most common reason for a recipient site graft was a postburn scar deformity (10/14 patients). The mean area of scalp SSGs was 151.8 cm2. The mean area of scalp SDGs was 88.2 cm2. The mean healing time of scalp donors was 9.9 days. The only donor complication was a tufted scar deformity.ConclusionsSkin defects in the scalp of donors healed faster and led to less scarring than defects at other donor sites. Scalp SDGs needed 10 days for adequate epithelization. The scalp was the best donor site for SSGs and SDGs for burn reconstructive patients.

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Isolierte Verbrühungen und Verbrennungen an Händen im Kleinkindesalter*

Cited by 3 publications

References 1 publication

A systematic review of the scalp donor site for split-thickness skin grafting

A systematic review of the scalp donor site for split-thickness skin grafting

Compression Treatment after Burns

Simultaneous two-layer harvesting of scalp split-thickness skin and dermal grafts for acute burns and postburn scar deformities

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