Management of Scalp and Facial Burns by Sulphuric Acid With Early Escharectomy or/and Peeling of Eschar and Zoning Skin Grafting
- VernacularTitle:早期分区切(剥)痂植皮修复头面部硫酸烧伤
- Author:
Shungqing SU
;
Xingming DAI
;
Qian QIN
- Publication Type:Journal Article
- Keywords:
Scalp and facial injury;
Sulphuric acid burns;
Escharectomy or peeling of eschar;
Skin grafting
- From:
Journal of Chinese Physician
2001;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore optimal methods and an opportunity of the management of scalp and facial burns caused by sulphuric acid,so as to prevent the development of facial hypertrophic scar and deformity. Methods Early zoning management were carried out in burn patients by sulphuric acid : ⑴Early (postburn 1～4 days) escharectomy and full or split thickness skin grafting were carried out in up-facial( forehead,temporal and up eyelid) ; ⑵Early(postburn 9～12 days) peeling of eschar and split thickness skin grafting were applied in cheek. ⑶Scalp expansion or skin grafting in granulation laterly in scalp wound according its shape and area.Results The wounds in 6 cases had healed comfortably ,hypertrophic scar and facial deformity were not occurred during the followed-up.3 cases of scalp burns scarring baldness were avoided.Conclusion Scalp and facial burns by sulphuric acid could be managed as early escharectomy and peeling of eschar and zoning skin grafting.As result,facial scar hypertrophy and deformity could be avoided.
