Post burn contracted neck: Experience in Ain Shams burn center

Q3 Medicine

Burns open : an international open access journal for burn injuries Pub Date : 2024-01-01 DOI:10.1016/j.burnso.2023.12.003

Amr Mabrouk, Mai Raafat Hammad, Adel Mabrouk, Mohamed Samir Badawy

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Abstract

Introduction

The neck is especially liable to severe contractures following burns, especially in developing countries. Severe neck contractures are functionally devastating as they can also result in respiratory compromise and intubation difficulties. In this study, we examine out experience with neck contractures over a period from January 2019 through July 2022 in Ain Shams University burn unit, which receives referrals from all over Egypt, most of which are challenging due to late presentation.

Methods

We prospectively evaluated 70 patients with post-burn neck contracture, and surgically managed them according to Makboul and El-Oteify’s classification of neck contractures. Interventions for release included use of skin grafts, local flaps, tissue expansion and free tissue transfer. Recurrence was also correlated to method on release.

Conclusion

The most common grade of contracture was moderate (n=34). Broad scars comprised the most common pattern of scar (n=32). Recurrence of neck contracture increased with release by skin grafts (28.6%).

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烧伤后颈部挛缩：艾因夏姆斯烧伤中心的经验

引言颈部在烧伤后特别容易发生严重挛缩，尤其是在发展中国家。严重的颈部挛缩会导致呼吸困难和插管困难，对患者的功能造成严重破坏。在本研究中，我们对艾因夏姆斯大学烧伤科从 2019 年 1 月到 2022 年 7 月期间的颈部挛缩经验进行了研究，该科接收来自埃及各地的转诊患者，其中大部分患者因就诊时间较晚而面临挑战。方法我们对 70 名烧伤后颈部挛缩患者进行了前瞻性评估，并根据 Makboul 和 El-Oteify 的颈部挛缩分类对他们进行了手术治疗。解除挛缩的干预措施包括植皮、局部皮瓣、组织扩张和游离组织转移。结论最常见的挛缩等级为中度（34 例）。宽疤痕是最常见的疤痕形态（32 例）。颈部挛缩的复发率因植皮松解而增加（28.6%）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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