Isolierte Verbrühungen und Verbrennungen an Händen im Kleinkindesalter*

Abstract

Every year about a hundred children with burns and scalds are hospitalised in the Burns Unit of the University Children's Hospital in Zürich. 15% of these patients are children between 1/2 to 4 years old with isolated burns and scalds of their hands. The experience gained in the treatment of 53 such children during 4 years is described. The burn healed spontaneously in 31 patients; in 22 cases Thiersch grafts had to be used. In the follow-up treatment compression suits and special splints to prevent secondary contractures were employed. The results of this treatment using splints and compression suits are discussed.

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

“…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 ).…”

“…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 ).…”

“…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 ).…”

“…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.…”

Compression Treatment after Burns

“…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.…”