Traitement des séquelles de brûlures : généralités

Management of burn sequelae must comply with two fundamental therapeutic principles: the first is functional, the other cosmetic. Surgical reconstruction of such lesions may be considered after scar maturation is achieved. During the maturation process, the use of specific drugs may be helpful in treating some of the symptoms associated with burn sequelae. Crenotherapy may improve the softness of the scars and facilitate subsequent surgery. Early surgery may be considered in a child when growth is likely to be compromised or in case of functional impairment due to burn sequelae. Local flaps and full-thickness grafts are the most commonly used means for the surgical correction of burn sequelae, whatever the time necessary for their management.