Burns open : an international open access journal for burn injuries最新文献

{"title":"The introduction of microvascular free tissue transfer in primary burn reconstruction. Experience report of the national burn center in Chile","authors":"Soto Carolina ,&nbsp;Dona Jimena ,&nbsp;Alzate Adriana ,&nbsp;Troncoso Ekaterina ,&nbsp;Hurtado María José ,&nbsp;González Diego ,&nbsp;Calcagno Manuel ,&nbsp;Calderón María Elsa ,&nbsp;Flores Nicolás ,&nbsp;Ríos Marco","doi":"10.1016/j.burnso.2024.03.005","DOIUrl":"10.1016/j.burnso.2024.03.005","url":null,"abstract":"<div><h3>Background</h3><p>Surgical debridement and split thickness graft is the most common treatment for acute burn patients that require surgery. However, there is a relevant minority that will require more complex reconstructive options. Microsurgery has evolved as a valuable tool in the acute setting allowing early closure of complex wounds in order to avoid infection, maintain function and even for limb salvage in one stage reconstruction. We present our experience in the management of severely acute burned patients with free flaps, flap survival rate and complications in Chile’s National Health service.</p></div><div><h3>Method</h3><p>We performed a retrospective analysis of all major burn patients admitted in our unit who received a microsurgical flap in the period between april 2019 and march 2023. Data was collected on patient sex, age, mechanism of injury, total burned surface area (TBSA), location of the defect, days to reconstruction, flaps used, operatory time, flap survival and complications.</p></div><div><h3>Results</h3><p>In the study period we had 925 admissions. A total of 36 patients had 42 free flaps (5,1%). All but two patients were male (95 %), mean age 46 years (range 20–––76 years). Total body surface area burned averaged 14 % (range 1–64 %). The majority of injuries were caused by high voltage electricity (59 %) and fire (33 %). 59 % compromised lower limbs and 31 % upper limbs. In 81 % of the cases anterolateral thigh flaps were used. Mean time to reconstruction was 39 days(range 1–64 days), we had 9 complications (21 %) and only one flap was lost (2,9%).</p></div><div><h3>Discussion</h3><p>The introduction of free flaps in the burn reconstruction field was first described in sequelae management. In the acute phase it has also proven to be safe and feasible with a surgical indication of 1,5% to 2% of the admissions in different series. In our unit, 5,1% of our admissions required it, with a low flap loss rate. The increased confidence for its use in the acutely burned setting allowed us to achieve complex coverage while maintaining surgical risk and an internationally acceptable rate of losses and complications. Free flaps cpnstitute an active approach in the classical treatment of this pathology pushing the boundaries in the local environment.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 3","pages":"Pages 169-174"},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000221/pdfft?md5=4ae320a97fda6bb31dad126f89c8b02f&pid=1-s2.0-S2468912224000221-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140400352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tetra-combined Z-plasty for wide-scar hip contracture including the anus","authors":"Masaki Fujioka ,&nbsp;Kiyoko Fukui ,&nbsp;Kazufumi Koga","doi":"10.1016/j.burnso.2024.03.002","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.03.002","url":null,"abstract":"<div><p>Extensive burns around the anus cause scarring and contracture, leading to difficulty in defecation due to anal stenosis and restriction of hip joint movement, which causes suffering to the patient. Conventional Z-plasty is not effective for widespread zonular scar contracture, and methods such as double combined Z-plasty and reversed Z-plasty have been developed. However, these methods are difficult to use because the position of the anus is displaced when the flap is moved.</p><p>The purpose of this study was to introduce a new technique to effectively release contracture in wide scars using tetra-combined Z-plasty, which has the following characteristics: 1. There is no deviation of the anus. 2. It prevents anal restenosis. 3. The funnel-shaped three-dimensional structure can be reconstructed.</p><p>These characteristics suggest that tetra-combined Z-plasty is also well-suited for the release of scar contracture in a wide range of skin landmark organs, including the perineum, penis, umbilicus, nipples, stoma, and tracheostomy.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 125-127"},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S246891222400018X/pdfft?md5=8c7b0506eb8da8341bc868cc8389d9c3&pid=1-s2.0-S246891222400018X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140113355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Celecoxib to improve scar quality following acute burn injury: Lessons learned after premature termination of a randomised trial","authors":"Edward Raby ,&nbsp;Paul Gittings ,&nbsp;Edward Litton ,&nbsp;Aaron Berghuber ,&nbsp;Dale Wesley Edgar ,&nbsp;Jo Camilleri ,&nbsp;Kris Owen ,&nbsp;Rosemary Kendell ,&nbsp;Laurens Manning ,&nbsp;Mark Fear ,&nbsp;Fiona Melanie Wood","doi":"10.1016/j.burnso.2024.03.001","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.03.001","url":null,"abstract":"<div><h3>Background</h3><p>Pre-clinical studies suggest that non-steroidal anti-inflammatory therapy may reduce acute inflammation and modulate scar formation after burn injury. The objective of this trial was to determine if celecoxib administered soon after acute burn improved scar quality.</p></div><div><h3>Methods</h3><p>A single centre, parallel group, placebo-controlled, randomised, superiority trial. Adults with non-major acute burn injury were eligible for recruitment. Participants within 48 h of admission for acute burn injury received either six weeks of celecoxib 200 mg twice daily or identically packaged placebo capsules. The primary outcome was participant-reported Patient Observer Scar Assessment Scale (POSAS) at day 42 following burn injury. The best possible score using this assessment is 7 and the worst 70. Key safety outcomes included study drug side effects.</p></div><div><h3>Results</h3><p>Restrictions imposed during the COVID-19 pandemic resulted in slow recruitment and early termination after 59 of the 150 planned participants were enrolled. The primary outcome was available for 21/30 (70 %) participants in the celecoxib arm and for 23/29 (79 %) who received placebo. There was no significant difference in the primary outcome between treatment groups with a mean POSAS of 33.4 (standard deviation 12.7) in the celecoxib arm and 36.9 (13.7) in the control arm giving a difference of −3.49 (95 % CI [-11.57, 4.59], <em>p</em> =.39). Gastrointestinal symptoms occurred in 3/30 (10 %) allocated celecoxib and in none allocated placebo. Secondary outcomes including graft loss and delayed healing were similar between groups.</p></div><div><h3>Conclusions</h3><p>Anti-inflammatory therapy did not improve scar quality. Due to early trial termination and significant loss to follow up these findings should be interpreted cautiously. To improve generalisability and to attain recruitment targets, future trials should apply different approaches to improve participant retention as well as including patients with larger burn injuries and an older population.</p><p>Trial registration: ACTRN12618000732280.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 128-135"},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000191/pdfft?md5=94392e503be34bb4014409c0c61a626f&pid=1-s2.0-S2468912224000191-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140112942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acellular dermal matrix combined with negative pressure wound therapy in a chemical burn: Case report","authors":"Viviana Gómez-Ortega ,&nbsp;David Camacho-Obando ,&nbsp;Ana-María Camargo-López ,&nbsp;Cesar Cardona-Montes","doi":"10.1016/j.burnso.2024.02.008","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.02.008","url":null,"abstract":"<div><p>Chemical burns rank among the most hazardous and severe types of burns due to their potential to inflict considerable tissue damage, resulting in pain, inflammation, necrosis, and scarring. This report details a case of burn injury that necessitated the reconstruction of a defect in the hallux. The reconstruction was performed using an Acellular Dermal Matrix (MatriDerm® MedSkin Solution by Dr. Suwelack AG, Billerbeck, Germany). This intervention became necessary after the patient was erroneously administered Nitric Acid intramuscularly at a different institution. The patient presented with a third degree burn that compromised the medial aspect of the hallux’s skin, the distal phalanx and nail bed. Early debridement was performed, and Negative Pressure Wound Therapy (NPWT VAC, 3 M, US) was used to preserve and promote tissue viability. Eight days later, the patient was taken to the OR, and Acellular Dermal Matrix and split-thickness skin graft were used to reconstruct her right hallux’s defect. The patient achieved adequate clinical evolution and was discharged with complete reconstruction of the burned area. Acellular Dermal Matrix proved to be an important and viable option for reconstructive surgery after a chemical burn, and further studies are warranted to ensure its routine usage in this kind of lesions.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 120-124"},"PeriodicalIF":0.0,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000178/pdfft?md5=221efa2f5b660358bb69d0e14450eb50&pid=1-s2.0-S2468912224000178-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140030997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Phenol burns treated with conservative therapy: A case report","authors":"Ayami Shigeno,&nbsp;Daiki Miyao,&nbsp;Hiromi Futagami,&nbsp;Shinji Nakajima,&nbsp;Yuichi Kuroki,&nbsp;Akinori Osuka","doi":"10.1016/j.burnso.2024.02.005","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.02.005","url":null,"abstract":"<div><p>Phenol, a corrosive aromatic compound, is used in many polymers and plastics for industrial purposes. It has previously been used as an antiseptic agent. Phenol burns are partially thick and may cause skin hyperpigmentation. Surgical intervention, including debridement, is often unnecessary. We report the case of a resin industrial worker who sustained phenol burns in both lower extremities due to a work accident. The estimated total surface area (TBSA) was 11 %. His wound showed signs of epithelialization 7 days after the burn injury without debridement or skin grafting, with daily water irrigation and dressing alone. The patient was discharged from the hospital on day 23 after the accident with no residual organ damage or functional impairment. A conservative approach to phenol burns would be of great benefit to patients in terms of functional prognosis.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 115-119"},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000142/pdfft?md5=7bb75cc4bee9395e8b18a8b417624043&pid=1-s2.0-S2468912224000142-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139992984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of COVID-19 infection on clinical outcomes of adult burn patients: A retrospective observational cohort study in Iran","authors":"Mahmood Omranifard ,&nbsp;Mahdi Rasti ,&nbsp;Mohammad Ali Hoghoughi ,&nbsp;Danyal Omranifard ,&nbsp;Fahimeh Beigi ,&nbsp;Majid Kalbasi Gharavi ,&nbsp;Amir Parniaei ,&nbsp;Morteza Mirzaei ,&nbsp;Maryam Mahabadi ,&nbsp;Nazila Farnoush ,&nbsp;Amirreza Fotoohi","doi":"10.1016/j.burnso.2024.02.007","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.02.007","url":null,"abstract":"<div><p>The COVID-19 pandemic has exacerbated the significance of burn injuries as a critical public health challenge, demanding the exploration of effective strategies for prevention and care, particularly for individuals with burns. This retrospective observational cohort study aimed to analyze the characteristics of adult burn patients admitted to three reference centers in Iran from October 2020 to October 2023. The study focused on patients and burn wound characteristics, complications and morbidities, and treatment plans. Among the 382 patients aged 20 to 84, our findings suggested that being male decreased the likelihood of COVID-19 infection by about 77 %. Thermal burns accounted for 50.2 % of COVID-19-positive patients and 49.8 % of COVID-19-negative patients. Notably, the risk of COVID-19 infection increased with higher degrees of burn (p = 0.006) in both groups. Among the complications, pneumonia (p = 0.003) and paralytic ileus (p = 0.015) were significantly more common in COVID-19-positive patients. Additionally, COVID-19-positive patients underwent more frequent interventions such as skin grafting (p = 0.035) and surgical debridement (p = 0.030). These findings emphasize the importance of a carefully planned and proactive multidisciplinary management strategy to ensure optimal care for burn patients.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 136-142"},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000154/pdfft?md5=7bdf2cb94f8efa9af2ea1bb5e5975f00&pid=1-s2.0-S2468912224000154-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140209398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Running water as first aid for burn and early hypothermia: A numerical investigation on human skin","authors":"Abul Mukid Mohammad Mukaddes ,&nbsp;Mohammad Junaid","doi":"10.1016/j.burnso.2024.02.006","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.02.006","url":null,"abstract":"<div><p>The cooling rate of the running water on the burn wound depends on both physiological and water parameters. Prolonged use of cold water on the burn wound may cause hypothermia. We aimed to investigate the running water as first aid for burns and find out the cooling effect of bio-heat transfer to avoid hypothermia. Measuring the temperature variation across the tissue layers is the main limitation of working with in vivo experiments and a one-dimensional model. Moreover, multiple boundary conditions cannot be used in one-dimensional models. These limitations motivate us to develop ADVENTURE Thermal to perform a finite element analysis of the bio-heat equation in the 3D skin model for the burn analysis. A circular wound was developed on a 3-layered skin with a hot disk of 92 °C for 15 s. Then the wound area was cooled with the running water, which had different parameters. Running water at 15 °C takes 20–30 % less time than being immersed in water at the same temperature. Results reveal that cooling rates of burns significantly depend on the temperature and heat transfer coefficient of the water. To avoid hypothermia, the use of the running water with a heat transfer coefficient ranging from 800 to 1000 W/m² °C (flow rate around 1.6 L/min) and temperature ranging from 15 to 20 °C for not more than 10 min is recommended. In the end, the running water cools the tissue with a small blood perfusion rate faster. The results agree with the experiment.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 105-111"},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000166/pdfft?md5=a808704125d90e72344c08c87c715f66&pid=1-s2.0-S2468912224000166-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139942603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A global exploration of operating theatre temperatures during severe burn repair","authors":"Zehra Palejwala ,&nbsp;Karen E Wallman ,&nbsp;Shane K Maloney ,&nbsp;Grant J Landers ,&nbsp;Mark W Fear ,&nbsp;Fiona M Wood","doi":"10.1016/j.burnso.2024.02.001","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.02.001","url":null,"abstract":"<div><p>The perioperative maintenance of a patient’s core temperature is a challenge during burn care. While patient warming devices are sometimes used to prevent intraoperative hypothermia, raising the ambient temperature of the theatre is the most common practice. Theatre temperature can impact on the performance and comfort of surgery staff but standards for theatre temperatures in burn care are poorly defined. Therefore, in this study we investigated the current, global, clinical practices in burn care with respect to the ambient temperature of theatres that are used to treat severe burn injuries. An internet-based, descriptive, Qualtrics^X^M survey was distributed electronically to 81 burn professionals to identify the temperatures at which the surgical teams operate on severe burn injuries. The survey was completed by 33 participants from 15 countries and revealed that there is a wide range of temperatures (24–45°C) at which burn injuries are treated. The prevention of hypothermia was the clinical justification most reported for those theatre temperatures. Temperatures between 26 and 30°C appear to be most comfortable for the staff. One respondent mentioned that surgeries are often limited to 5 h to avoid hypothermia in patients, however, others noted surgery durations of up to 8–12 h in raised temperatures, which may impact the physiology and performance of the team, potentially impacting the safety of the patients. The adoption of an optimal theatre temperature to address the surgical team’s comfort levels, their performance, and patient hypothermia, may improve outcomes in cases of severe burn injury.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 101-104"},"PeriodicalIF":0.0,"publicationDate":"2024-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000105/pdfft?md5=f4eed785a7cb8044ed0e43933e88d5d6&pid=1-s2.0-S2468912224000105-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139935319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deep-dermal burn sustained from operative Lighting: A case report","authors":"D. Mohamed ,&nbsp;G. Lafford,&nbsp;S. Hobbs,&nbsp;M. Athanasiadou","doi":"10.1016/j.burnso.2024.02.004","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.02.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Surgical luminance (also known as operative lighting) allows for adequate visualisation of the operative field, a necessity for delivering safe surgery. Light-emitting diode (LED) surgical luminance systems are widely used in modern medicine.</p><p>We present a case of a 59-year-old male patient who sustained an iatrogenic burn from operative lights during an emergency vascular bypass revision procedure. According to the author's literature review, this is the first documented case of a burn of this nature to be reported in the United Kingdom.</p></div><div><h3>Aim/Purpose of the report</h3><p>This report highlights an unusual mechanism of sustaining a cutaneous burn intra-operatively by LED lighting. We aim to highlight a potential safety hazard related to using standard operative lighting equipment.</p></div><div><h3>Methods</h3><p>We present a thorough review of the patient's progression from the point of injury to definitive treatment, including follow-up.</p></div><div><h3>Discussion</h3><p>In this case report, we conclude that the surgical operative lights caused the burn. The burn was a mixed depth, deep-dermal and partial-thickness burn in the suprapubic area that was exposed to the operative lights. This required surgical excision and reconstruction with a split-thickness skin graft which healed well with 100% graft take.</p></div><div><h3>Conclusion</h3><p>Operating lights, although regarded safe, have the potential to cause significant cutaneous injury. Increased awareness and education are required to ensure safe practices.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 112-114"},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000130/pdfft?md5=0208e0e7929cb0208961b9ded5587974&pid=1-s2.0-S2468912224000130-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139942040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Media: A notable cause of child burns","authors":"Sabriye Dayı ,&nbsp;Selma Beyeç ,&nbsp;Beyza Dede ,&nbsp;Selenay İşçimen ,&nbsp;Meryem Anayurt ,&nbsp;Serpil Sancar","doi":"10.1016/j.burnso.2024.02.003","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.02.003","url":null,"abstract":"<div><h3>Objective</h3><p>Scalding and flame burns come first in the etiology of pediatric burns. Today, with the increase in internet use, the effect of social media on the etiology of burns is also seen. When the story of some children who applied for burns was questioned recently, it was observed that the children were affected by various images, videos, and duels on social media. They wanted to try what they saw with a sense of curiosity. This study aims to draw attention to child burns caused by social media's effects and raise awareness about their preventability.</p></div><div><h3>Methods</h3><p>Children who stated that they got burned because of watching social media in our burn center within one year were included in the study retrospectively. Children's age, gender, burning pattern, and graft needs were evaluated.</p></div><div><h3>Results</h3><p>In one year, eight patients (three girls and five boys) were admitted to the hospital with the complaint of burns caused by the effect of social media. All of them were flame burns. The ages of these patients were between 6 and 12 years, and their burn percentage was between 1 and 12. Grafts were performed in 4 patients. Three recovered with dressings after debridement, and one improved during outpatient follow-up. The hospitalization period of 7 patients who received inpatient treatment was recorded to be between 1 and 15 days.</p></div><div><h3>Conclusions</h3><p>Children's access to the Internet at an early age and unsupervised exposes them to many dangers, including burns. These burns can have serious consequences, such as hospitalization and graft needs. Steps should be taken to recognize and prevent the threat of social media. The study was presented as an oral presentation at the 39th National Congress of Pediatric Surgery held in İzmir/Kuşadası/Türkiye on 2–5 November 2022.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 2","pages":"Pages 97-100"},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000129/pdfft?md5=cab12f07171e24ba1e9f26c394355c65&pid=1-s2.0-S2468912224000129-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139749652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}