Indian journal of burns最新文献_第9页

Management of postburn flexion contracture of the proximal interphalangeal joint of the finger by distraction histiogenesis and release and skin grafting: A comparative study 牵张组织发生松解与植皮治疗手指近端指间关节烧伤后屈曲挛缩的比较研究

Indian journal of burns Pub Date : 2019-01-01 DOI: 10.4103/ijb.ijb_3_19

Sanjay Kumar, Sharadendu Sharma, H. Sharma

{"title":"Management of postburn flexion contracture of the proximal interphalangeal joint of the finger by distraction histiogenesis and release and skin grafting: A comparative study","authors":"Sanjay Kumar, Sharadendu Sharma, H. Sharma","doi":"10.4103/ijb.ijb_3_19","DOIUrl":"https://doi.org/10.4103/ijb.ijb_3_19","url":null,"abstract":"Introduction: Flexion contractures of the fingers cause functional and esthetic problems to a burn patient. Various methods of reconstruction have been described, but the usual treatment for these contractures is release and split-skin graft. In this study, technique of distraction histiogenesis was used for the treatment of finger contracture. Methods: In this study, sixty patients of postburn contracture of proximal interphalangeal (PIP) joint of the hand due to volar skin burns were taken. Thirty patients were treated with distraction technique and thirty patients with release and split-skin grafting. The average age of patient is 20 years. Results: Both techniques showed improvement in range of motion at PIP joint. Esthetic result was also assessed using score on the Visual Analog Scale, with better score in distraction histiogenesis. There was no recurrence of contracture at 6 months follows-up. Conclusion: Technique of gradual distraction histiogenesis is safe for treating long-standing flexion contracture of the finger without risk of neurovascular compromise to finger.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"27 1","pages":"85 - 89"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70743407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bilateral unexpanded supraclavicular flaps for single-stage resurfacing of anterior neck contractures 双侧未扩张的锁骨上瓣用于颈前挛缩的一期表面修复

Indian journal of burns Pub Date : 2019-01-01 DOI: 10.4103/IJB.IJB_11_19

R. Sousa

{"title":"Bilateral unexpanded supraclavicular flaps for single-stage resurfacing of anterior neck contractures","authors":"R. Sousa","doi":"10.4103/IJB.IJB_11_19","DOIUrl":"https://doi.org/10.4103/IJB.IJB_11_19","url":null,"abstract":"Context: Anterior neck scar contracture causes functional and esthetic deformity which is difficult to conceal. Supraclavicular flap is an accepted modality for neck scar reconstruction but has limitations of reach and skin deformation if used as a pedicled flap. Island flap and propeller modification can allow primary closure of donor site. Aims: The aim of the study is to assess the efficacy of bilateral supraclavicular unexpanded flaps in single-stage release and resurfacing of anterior neck contractures. Subjects: Seven cases of anterior neck contracture were operated with release and flap cover. Grades of contracture treated were Onah 2b, 2c, 3b and 3c. Methods: All cases underwent single stage release and resurfacing with bilateral propeller island supraclavicular flaps. Patients were followed up fo an average 30+/- 10 months using extension angle to check for recurrence. Results: All cases achieved satisfactory cosmesis at 1year followup. The average increase in neck extension angle achieved at 1 year was 22.9° ± 10°. No recurrence of contracture was noted. One flap had partial necrosis requiring skin graft. Two cases had axilla scarring requiring graft closure for donor site. Average flap length was 14.4 ± 1.7 cm. Average flap width was 7.1 ± 1 cm. Conclusions: Bilateral supraclavicular flaps can be used to resurface anterior neck contractures in a single stage with acceptable donor-site morbidity.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"27 1","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70740865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Self-inflicted chemical burns caused by depilatory cream use: The price of beauty 使用脱毛膏造成的自己造成的化学灼伤:美容的代价

Indian journal of burns Pub Date : 2019-01-01 DOI: 10.4103/ijb.ijb_17_19

R. Park, T. Hansen, D. Bell

{"title":"Self-inflicted chemical burns caused by depilatory cream use: The price of beauty","authors":"R. Park, T. Hansen, D. Bell","doi":"10.4103/ijb.ijb_17_19","DOIUrl":"https://doi.org/10.4103/ijb.ijb_17_19","url":null,"abstract":"Objective: The objective was to study and describe the presenting patient characteristics for those with chemical burns acquired from hair removal beauty products. Methods: Retrospective single-center chart review was done to identify all burn injuries caused by the use of depilatory cream use. Results: A total of seven patients who acquired burn injuries due to depilatory cream use were identified. Six were female and one was male. Patients' age ranged from 3 to 43 years, with a mean age of 27.2 years. Total body surface area of the burns ranged from 0.18% to 0.79% including first- and second-degree burns; none of the patients acquired third-degree burns. Most of the injuries involved groin and pubic area. All patients were treated with wound care, and none required inpatient care. All of the patients who presented to follow-up visits showed re-epithelialization and good healing. Conclusion: Depilatory cream is a corrosive chemical hair removal agent that can lead to unintended chemical burns if used improperly. Burn-care provider, as well as other health-care providers, should be aware of this unusual cause of chemical burn and educate their patients appropriately.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"27 1","pages":"44 - 48"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70741862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Epidemiological study of burn admissions in a tertiary burn care center of Bihar, India 印度比哈尔邦某三级烧伤护理中心烧伤入院的流行病学研究

Indian journal of burns Pub Date : 2019-01-01 DOI: 10.4103/ijb.ijb_21_19

V. Choudhary, P. Kumar, Prakash Kumar, Purushottam Kumar, Sanjay Kumar

{"title":"Epidemiological study of burn admissions in a tertiary burn care center of Bihar, India","authors":"V. Choudhary, P. Kumar, Prakash Kumar, Purushottam Kumar, Sanjay Kumar","doi":"10.4103/ijb.ijb_21_19","DOIUrl":"https://doi.org/10.4103/ijb.ijb_21_19","url":null,"abstract":"Background: Burn injury remains one of the biggest health concerns in the developing world and is a formidable public health issue in terms of mortality, morbidity, and permanent disability. Aims and objectives: To study the epidemiological aspects of burn admission in a tertiary care burn centre of Bihar. Materials and Methods: This study is a retrospective hospital based observational study, being conducted at Patna Medical College Hospital (PMCH), Patna from 1.1.2018 to 31.12.2018. All burn patients (n = 1431) admitted during this period were included in this study. Results: In our region, burn admissions showed 2 seasonal peaks (April, May) & (Nov, Dec). Females of age 20-39 years were most commonly affected. Accidental injuries were more common than suicidal & homicidal cases. Flame burn leaded the cause followed by electric burn. Most burn victims belonged to rural background & low socio-economic strata. Kitchen was the most common place & kerosene oil most common agent causing burn. Majority of patients presented late to our hospital i.e. after 4 hours. In our scenario, mortality of burn patients with total body surface area (TBSA) > 60% was 95%. Conclusion: Young females of rural background & low socio-economic strata are the commonest victim of burn injuries. Majority of cases are accidental thermal burn. Mortality rate is high in patients with TBSA > 60%. Appropriate preventive & therapeutic measures need to be taken in terms of social education & provision of quality healthcare to reduce the incidence & improve the survival outcome of burn patients.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"27 1","pages":"63 - 69"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70742476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Epileptic burn injuries in Kashmir valley: Is “Kangri” a boon or bane? 克什米尔山谷的癫痫烧伤:“康格里”是福还是祸?

Indian journal of burns Pub Date : 2019-01-01 DOI: 10.4103/ijb.ijb_6_19

Peerzada Umar Farooq Baba, Shiv Sharma, A. Wani

{"title":"Epileptic burn injuries in Kashmir valley: Is “Kangri” a boon or bane?","authors":"Peerzada Umar Farooq Baba, Shiv Sharma, A. Wani","doi":"10.4103/ijb.ijb_6_19","DOIUrl":"https://doi.org/10.4103/ijb.ijb_6_19","url":null,"abstract":"Background: During seizure attacks, patients may suffer severe trauma such as deep burns, limb fractures, and head-and-neck injuries. Most burns in epileptic patients occur during major seizures. Such burns are always full-thickness. Because of extreme cold conditions people in Kashmir valley, especially in rural areas use Kangri to keep themselves warm. This Kangri which is already notorious for causing Kangri cancer has an additional disadvantage in causing deep burns mainly to the hands in epileptic patients. Objective: (1) To analyze the epidemiological data of burnt hospitalized epileptic patients. (2) To determine the frequency, causes, and consequences of burns in patients with epilepsy stressing on Kangri burns in epileptics. (3) To determine the various preventive measures to reduce the incidence of such injuries. Materials and Methods: This was a retrospective study conducted in the Department of Burns, Plastic, and Reconstructive Surgery at Sher-e-Kashmir Institute of Medical Sciences, Srinagar, India, from January 2005 to December 2018. All epileptic patients with burns admitted in the hospital were included in the study. Results: Of 157 patients, 67 (43%) were in the age group of 16–30 years. The mean age was 32.7 years. Majority of the patients 99 (63%) were female. One hundred and two (84%) patients belonged to rural areas. Kangri was the most common etiological agent of epileptic burns in 99 (63%) patients. Eighty-four (53%) had sustained full-thickness burns and total body surface area involved was up to 5% only. The most common site of burns was hands 88 (56%). Amputation of the gangrenous digits/hands was the most common surgery performed in 39 (25%) patients. Complication in burnt epileptic patients was loss of a body part 47 (44%) followed by contracture (32.4%), wound infection (22%), and loss of vision in 1 (0.6%) patients. There was no mortality in our series. Conclusion: Epileptic patients should avoid high-risk situations like working alone in kitchen. Kangri should be replaced by alternative simple and safe warming devices.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"27 1","pages":"95 - 101"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70744043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Reverse radial forearm perforator plus flaps for the reconstruction of postelectrical burn sequelae of hand and forearm defects 前臂桡侧反穿支加皮瓣修复手及前臂电烧伤后遗症

Indian journal of burns Pub Date : 2019-01-01 DOI: 10.4103/ijb.ijb_15_19

P. Korambayil, P. Ambookan, V. Dilliraj, R. Karangath

{"title":"Reverse radial forearm perforator plus flaps for the reconstruction of postelectrical burn sequelae of hand and forearm defects","authors":"P. Korambayil, P. Ambookan, V. Dilliraj, R. Karangath","doi":"10.4103/ijb.ijb_15_19","DOIUrl":"https://doi.org/10.4103/ijb.ijb_15_19","url":null,"abstract":"Background: The reverse radial forearm perforator flaps are useful in softtissue reconstruction of the hand and forearm. Certain modifications in the flap and usage of hyperbaric oxygen therapy as an adjunct in reconstruction could aid in better outcome of the surgical procedure. The conventional reverse radial artery forearm flap incorporates the radial artery along with its venae commitants along with the flap providing less chances of venous congestion. The per-foratoronly flap may cause a twist in a pedicle which may not affect the artery much, but a small increase in pressure may obstruct the tiny veins running along with the perforator resulting in chances of venous congestion which is a common problem in propeller or perforator flaps. This can be overcome by designing a flap with adequate venous outflow and reducing the postoperative inflammatory edema to prevent pressure to the tiny perforators with arterial and venous components. Aims and Objectives: To focus on flap harvest in a perforator plus model to increase the venous outflow and use of hyperbaric oxygen therapy as an adjunct to prevent the inflammatory edema on the perforator vessels. Materials and Methods: Reverse radial artery perforator plus flaps used for the reconstruction of hand and forearm soft-tissue loss in a series of patients due to electrical burns. We used hyperbaric oxygen therapy as an adjunct for reconstruction. Results: No flap related complication in the series. One patient developed venous congestion at the distal tip region which settled without any further intervention. Conclusion: Defects of the hand and forearm due to the electrical burns could be effectively managed with radial forearm perforator plus flap with allowing adequate venous outflow, and hyperbaric oxygen therapy as an adjunct in electrical burns.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"27 1","pages":"40 - 43"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70741695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Burn Unit at ABVIMS and Dr. Ram Manohar Lohia Hospital, New Delhi, India 印度新德里ABVIMS烧伤科和Ram Manohar Lohia医生医院

Indian journal of burns Pub Date : 2019-01-01 DOI: 10.4103/ijb.ijb_30_19

R. Srivastava, V. Babu, Mukesh Sharma

引用次数: 0

Rare leiomyosarcoma in a burn scar 罕见的烧伤瘢痕平滑肌肉瘤

Indian journal of burns Pub Date : 2019-01-01 DOI: 10.4103/ijb.ijb_9_19

Joseph Thomas, I. Sravya, N. Sreekumar, B. Nayal

引用次数: 0

Experiences of burn patients in Ghana: A qualitative study at the Korle-Bu Teaching Hospital in Accra 加纳烧伤患者的经验:在阿克拉Korle-Bu教学医院的定性研究

Indian journal of burns Pub Date : 2019-01-01 DOI: 10.4103/ijb.ijb_18_19

L. Yarney, E. Yeboah, Rachael Hansen-Garshong

{"title":"Experiences of burn patients in Ghana: A qualitative study at the Korle-Bu Teaching Hospital in Accra","authors":"L. Yarney, E. Yeboah, Rachael Hansen-Garshong","doi":"10.4103/ijb.ijb_18_19","DOIUrl":"https://doi.org/10.4103/ijb.ijb_18_19","url":null,"abstract":"Background: Statistics on the trends of burn injuries in Ghana, Africa, and the world at large indicate unacceptable number of lives lost through burns. Aside these deaths, individuals who survive suffer lots of physical and psychological burdens as a result of long hospitalization and pain from the regular wound dressing, and physical deformities in severe cases. This study focused on the sources of burns, types of burns, how burns are managed, and the effects of burns on victims to enable an empirical basis for formulating preventive educational materials for awareness creation and preventive education. Methodology: We employed a case study design and purposively selected 20 participants made up of 15 adults and 5 caregivers of children with burns who were receiving treatment at the Reconstructive, Plastic Surgery, and Burns Centre of the Korle-Bu Teaching Hospital in Accra for the study. In-depth interviews were conducted with participants to ascertain the type and sources of burns incurred, and their experiences with the study facility and living with the consequences of burns. Recorded interviews were transcribed and analyzed based on themes with the study objectives as a guide. Results: The majority of participants had third-degree burns from explosive sources either at their place of residence or the work-place. The physical and psychological effects of burns have been unbearable. Their encounter with the study facility has been pleasant with few challenges related to the cost of treatment, some personnel, and waiting time. Conclusion: Massive education on burns and the prevention of accidental burns in Ghana is needed. Training of more personnel to handle patients in a professional manner and cost of care of burn patients should be placed on the agenda of all relevant stakeholders in the country.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"27 1","pages":"49 - 56"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70741698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The role of comorbidieites in the prognosis of thermal burns 合并症在热烧伤预后中的作用

Indian journal of burns Pub Date : 2019-01-01 DOI: 10.4103/ijb.ijb_10_19

Abhinav Aggarwal, R. Chittoria, V. Chavan, S. Gupta, C. Reddy, P. Mohan, I. Pathan, K. Shijina

{"title":"The role of comorbidieites in the prognosis of thermal burns","authors":"Abhinav Aggarwal, R. Chittoria, V. Chavan, S. Gupta, C. Reddy, P. Mohan, I. Pathan, K. Shijina","doi":"10.4103/ijb.ijb_10_19","DOIUrl":"https://doi.org/10.4103/ijb.ijb_10_19","url":null,"abstract":"Context: Burn injury is a complex trauma with multiple changes in physiology of the patient. Assessing prognosis of the burn patient is a subject of debate with various prognostic scores available. The presence of inhalational injury and percentage (total body surface area) of thermal burns are the most important factors affecting the outcome of the burn patient. The role of comorbidities is another very important factor and its importance cannot be undermined, especially with massive fluid shifts associated with resuscitation and body catabolism in the rehabilitative stage, respectively. Charlson Comorbidity Index (CCI) is an attractive scale that has stood the test of time as a scale to measure objectively the severity of comorbidities on the prognosis. Aims: The aim of the study was to understand the role of comorbidities have on the outcome of thermal burns. Materials and Methods: This was a retrospective analysis of burn patients admitted in the burns center over the past 1 year fulfilling the inclusion criteria. Descriptive analysis of patient records was done. Results: A total of 18 patients with comorbidities admitted in the burns center fulfilling the above-said inclusion criteria. Ten patients survived, while eight patients succumbed to the burn injuries. The average CCI of the survivor group was 2.2 (range: 1–4), whereas the mean CCI of the nonsurvivor group was 3.5 (range: 2–6). Conclusion: Comorbidities do have an impact on the prognosis of a burn patient, and objective assessment of prognosis of the burn injury must include the CCI as a tool to predict the outcome correctly and reliably.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"27 1","pages":"16 - 19"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70740669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1