Skin grafting after paediatric palmar burns: an analysis of 82 patients

Abstract

Contact burn injuries to the palm are common in toddlers. We report a case series of 82 paediatric patients (age 7–48 months) with contact burn injury of the palm. We share our experience and outcomes of using plantar split-thickness skin grafts for resurfacing of the paediatric palm. We found that despite the excellent colour and texture match, split-thickness skin grafts from glabrous skin during growth are prone to motion-limiting scare contracture. From this series, we conclude that full-thickness skin grafts remain the reference standard of care in paediatric patients’ hands. We recommend that children with burn scars should have regular check-up examinations until they are fully grown. Level of evidence: IV

Functional and aesthetic outcomes of abdominal full‐thickness skin grafts in paediatric postburn digital and palmar flexion contractures

“…Compared with STSGs, FTSGs have significantly better pliability and are associated with lower risks of contracture and repeated reconstructive surgeries 14 . In addition, they showed a more acceptable skin colour and fewer complications at the donor and recipient sites 7 …”

“…Generally, the donor sites of FTSGs include the abdomen, inguinal region, forearm, posterior ear, and so forth 6‐8 . In our experience, the most commonly used FTSGs were from the abdomen.…”

“…Generally, the donor sites of FTSGs include the abdomen, inguinal region, forearm, posterior ear, and so forth. [6][7][8] In our experience, the most commonly used FTSGs were from the abdomen. The abdomen serves as a good donor site because it has a large area supplying skin grafts with thicker dermis and can be directly sutured after grafting.…”

Use of Autologous Skin Cell Suspension for the Treatment of Hand Burns: A Pilot Study

“…To achieve a functional and aesthetic outcome, healing by secondary intention and scar formation should be minimized. 4 Delayed wound healing can result in scar contracture throughout the hand leading to a restricted range of motion, decreased functional strength, impaired work and daily activity performance, and the need for further surgery. 5 Inherent limitations of split-thickness skin grafting (STSG) include the risk of donor site morbidity and availability of noninvolved donor skin.…”

Kommentar zu: Thermische Verletzungen im Kindesalter.

“…kein Fußgewölbe, daher ist die Auflagefläche der Fußsohle im Vergleich zum Erwachsenen größer. Die Instep-Region ist somit für die Deckung größerer Teile der Palma manus in der Größe insuffizient und die Entnahmestelle beim Gehen nicht entlastet, obwohl dieses Areal beim Erwachsenen belastungsfrei ist [3]. Die Technik findet jedoch in unserer Klinik durchaus Anwendung bei erwachsenen Patienten, etwa zur Rekonstruktion der Plama manus in Kombination mit freien Lappenplastiken [ (4,5].…”