Burns to the pediatric population are a prevalent problem that can have long-term if not fatal consequences. Although burns to the trunk have equally negative cosmetic effects from disfigurement for both boys and girls, burns to the trunk of the developing female, particularly those involving the breast, have an additional psychologic component due to the potential loss of femininity. This article aims to comprehensively review the proper management and treatment options for these patients based on mechanism of burn injury, both from an initial management and a staged reconstruction point of view.
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http://dx.doi.org/10.1097/SCS.0b013e318175f3ba | DOI Listing |
Burns
December 2024
Burn & Plastic, Reconstructive and Aesthetic Surgery,Azienda Ospedaliera Cannizzaro, Via Messina 829, Catania, Italy.
Introduction: Burn injuries are a global health challenge, causing significant pain, tissue damage and complex wound management issues. Traditional treatments like surgical debridement, while effective, pose challenges such as blood loss, grafting requirements, and prolonged hospital stays. Enzymatic debridement, such as the Nexobrid procedure, effectively removes necrotic tissue but can be painful for patients.
View Article and Find Full Text PDFAnn Chir Plast Esthet
January 2025
Department of Plastic and Burns Pediatric Surgery, Hôpital Armand-Trousseau, AP-HP, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France.
This clinical case report describes the reconstructive management of a child who developed a rare aggressive soft tissue infection - necrotizing fasciitis - complicating varicella skin lesions, with a synthetic dermal regenerative template - NovoSorb Biodegradable Temporizing Matrix - in conjunction with a split thickness meshed skin graft. The scarcity of this clinical case, the need to cover large skin defect promptly while facing infectious and pediatric challenges make it interesting to describe NovoSorb Biodegradable Temporizing Matrix in addition to split thickness meshed skin graft a novel treatment in necrotizing fasciitis of the child. A rapid surgical treatment followed by this reconstructive strategy achieved an acceptable functional and aesthetic result, with timely healing despite the severity and extensive surface area of the infection.
View Article and Find Full Text PDFJ Clin Med
December 2024
Department of Medical and Health Sciences Tarnobrzeg, State Higher Vocational School Memorial of Prof. Stanislaw Tarnowski in Tarnobrzeg, 39-400 Tarnobrzeg, Poland.
The World Health Organization (WHO) estimates that 180,000 patients die from burns every year, which is considered a serious public health issue. Patients with burns require immediate pre-hospital care and transport to specialized treatment facilities. The aim of this study was to outline the profile of the burn patient from the perspective of the Polish Medical Air Rescue (PMAR), as well as to analyze the medical procedures being implemented.
View Article and Find Full Text PDFAnn Plast Surg
January 2025
From the Department of Burn and Plastic, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Background: Deep burns to the upper abdomen that involve the submammary fold can lead to downward contracture and may cause significant asymmetry in a single breast, which can cause serious aesthetic and psychological problems, especially when they occur during childhood or before puberty. The objective of this study was to establish a practical treatment approach for postburn unilateral breast reconstruction after downward contracture.
Method: We conducted this retrospective review of patients with postburn unilateral breast deformity who underwent reconstruction using the expanded lateral thoracic flap and torso advancement flap from 2016 through 2021.
Womens Health (Lond)
December 2024
Department of Educational, School, and Counseling Psychology, University of Kentucky, Lexington, KY, USA.
Background: Burnout disproportionately affects professionals who spend much of their time in direct patient care. The physical and emotional demands of pelvic floor therapists, coupled with identity-based stressors, may place Black women pelvic floor therapists at an increased risk for experiencing burnout.
Objective: The purpose of this study was to explore the experiences of burnout among Black women pelvic floor therapists in the United States.
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