烧伤后颈椎回缩:2 个病例及文献综述

Dehhaze Adil, Bouazza Omar, Taybi Otmane, Tita Sara, Diher Issam, Labbaci Rim, Daghouri Nada- Imane, Barij Hamza, Echmili Mouad, Mai Aicha, Mahioui Mimoun, Tazi Hanae
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引用次数: 0

摘要

烧伤仍然是一种相当常见的事故,在我们的社会中影响到更多的儿童和妇女。一般来说,烧伤有时会导致严重的功能、美观和心理后果。在急性期或后期进行治疗可以改善患者的形象。然而,由于其解剖结构的原因,颈部仍然是发生颈后缩的高危部位。颈部皮肤薄,板层直接位于皮下,皮下组织薄,固定困难。凸缘一旦形成,可采用各种整形和重建外科技术,结合物理治疗进行重建。不过,治疗方法的选择取决于颈部健康皮肤组织的质量和数量。在遵循术后预防措施的情况下,远距离植皮可获得良好的效果。局部塑形术是治疗简单局部桥接的一种简单而有效的方法。我们的工作是一项病例研究,时间跨度为 2021 年 11 月至 2023 年 11 月,为期两年,其中包括丹吉尔穆罕默德六世大学医院整形外科和烧伤科随访的两例颈椎扭伤病例。指导伤口愈合是我们两名患者的初始治疗方法,N2 患者的依从性良好。两名患者都有中度和重度颈椎扭伤(根据 Achauer 的分类)。在这两名患者中,凸缘都对功能造成了影响,导致颈部伸展受限和颈中角变形。第一例患者的手术治疗包括植皮,第二例患者的手术治疗包括局部塑形。术后再教育仍是获得满意效果的治疗支柱。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Post-Burn Cervical Retraction: 2 Cases and a Survey of the Literature
Burns are still a fairly frequent accident, affecting more children and women in our society. They generally lead to sometimes dramatic functional, aesthetic and psychological after-effects. Treatment in the acute phase, or at a later stage, conditions the patient's image. The neck, however, remains a high-risk area for the development of retractions, due to its anatomy. The skin is thin, the platysma directly subcutaneous, the hypodermis thin, and immobilization difficult. Once the flange has set in, it can be reconstructed using a variety of plastic and reconstructive surgery techniques, in conjunction with physiotherapy. However, the choice of treatment will depend on the quality and quantity of healthy skin tissue available in the neck. Skin grafting gives good results at a distance, when post-operative preventive measures are followed. Local plasty is a simple and effective solution for the treatment of simple localized bridges. Our work is a case study spread over a 2-year period from November 2021 to November 2023, which includes 2 cases of cervical sprains followed up in the plastic and reconstructive surgery and burns department of the Mohammed VI University Hospital in Tangier. Directed wound healing had been the initial treatment in both our patients, with good compliance in patient N2. Moderate and severe cervical sprains (according to Achauer's classification) were found in both our patients. In both patients, the flange had a functional impact, with limited neck extension and deformity of the cervico-chinese angle. Surgical treatment involved skin grafts in the 1st case, and local plasty in the second. Post-operative re-education remains a therapeutic pillar for obtaining satisfactory results.
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