Preliminary results in single-step wound closure procedure of full-thickness facial burns in children by using the collagen-elastin matrix and review of pediatric facial burns

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dc.authoridDemircan, Mehmet/0000-0002-4022-1276
dc.authorwosidçiçek, tuğrul/AGD-0126-2022
dc.authorwosidDemircan, Mehmet/AAW-7162-2020
dc.authorwosidDemircan, Mehmet/B-1904-2008
dc.contributor.authorDemircan, Mehmet
dc.contributor.authorCicek, Tugrul
dc.contributor.authorYetis, Muhammed Ikbal
dc.date.accessioned2024-08-04T20:41:09Z
dc.date.available2024-08-04T20:41:09Z
dc.date.issued2015
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: Management of full-thickness facial burns remains one of the greatest challenges. Controversy exists among surgeons regarding the use of early excision for facial burns. Unfortunately, delayed excision of deeper burns often results in more scarring and subsequent reconstruction becomes more difficult. A collagen-elastin matrix is used to improve the quality of the reconstructed skin, to reduce scarring and to prevent wound contraction. It serves as a foundation for split thickness skin graft and enhances short and long-term results. Aim: We report the usage of a collagen-elastin matrix during single-step wound closure technique of severe full-thickness facial burns in 15 children with large burned body surface area, and also we review the literature about pediatric facial burns. Results: There were 15 pediatric patients with severe facial burns, 8 girls and 7 boys ranging in age from 10 months to 12 years, mean age 7 years and 6 months old. The facial burn surface area (FBSA) among the patients includes seven patients with 100%, five with 75%, and three with 50%. The average total body surface area (TBSA) for the patients was 72%, ranging between 50 and 90%. 5 of the patients' admissions were late, more than four days after burns while the rest of the patients were admitted within the first four days (acute admission time). The burns were caused by flame in eight of the patients, bomb blast in four, and scalding in three. All patients were treated by the simultaneous application of the. collagen-elastin matrix and an unmeshed split thickness skin graft at Turgut Ozal Medical Center, Pediatric Burn Center, Malatya, Turkey. After the treatment only two patients needed a second operation for revision of the grafts. All grafts transplanted to the face survived. The average Vancouver scar scales (VSS) were 2.55 +/- 1.42, ranging between one and six, in the first 10 of 15 patients at the end of 6 months postoperatively. VSS measurements of the last 5 patients were not taken since the 6 months postoperative period was not over. Conclusion: In regard to early results, graft quality was close to normal skin in terms of vascularity, elasticity, pliability, texture and color. Esthetic and functional results have been encouraging. This study shows us that the collagen-elastin matrix as a dermal substitute is a useful adjunct, which may result in quick healing with satisfying esthetic and functional results. It also may enhance short and long-term results in after burn facial wound closure in children. (C) 2015 Elsevier Ltd and ISBI. All rights reserved.en_US
dc.identifier.doi10.1016/j.burns.2015.01.007
dc.identifier.endpage1274en_US
dc.identifier.issn0305-4179
dc.identifier.issn1879-1409
dc.identifier.issue6en_US
dc.identifier.pmid25716758en_US
dc.identifier.scopus2-s2.0-84940447851en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1268en_US
dc.identifier.urihttps://doi.org/10.1016/j.burns.2015.01.007
dc.identifier.urihttps://hdl.handle.net/11616/96956
dc.identifier.volume41en_US
dc.identifier.wosWOS:000361920800019en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofBurnsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBurnsen_US
dc.subjectFacial burnsen_US
dc.subjectDermal substitutionen_US
dc.subjectScar formationen_US
dc.subjectCollagen-elastin matrixen_US
dc.subjectChildrenen_US
dc.titlePreliminary results in single-step wound closure procedure of full-thickness facial burns in children by using the collagen-elastin matrix and review of pediatric facial burnsen_US
dc.typeArticleen_US

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