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Date Published: 17/03/2023
Abstract Views: 278
Views PDF: 156
DOI: https://doi.org/10.51298/vmj.v524i1A.4605
Issue
Vol. 524 No. 1A (2023)
Section
Các bài báo
How to Cite
Trần , Đình H. ., & Ngô , T. H. . (2023). RESULTS OF THIN-SCALP GRAFTS IN THE TREATMENT OF DEEP BURN INJURIES IN CHILDREN AT THE LE HUU TRAC NATIONAL BURNS HOSPITAL. Vietnam Medical Journal, 524(1A). https://doi.org/10.51298/vmj.v524i1A.4605

RESULTS OF THIN-SCALP GRAFTS IN THE TREATMENT OF DEEP BURN INJURIES IN CHILDREN AT THE LE HUU TRAC NATIONAL BURNS HOSPITAL

Đình Hùng Trần 1,, Tuấn Hưng Ngô 1
1 LE HUU TRAC NATIONAL BURNS HOSPITAL

Main Article Content

Abstract

Objectives: Evaluation of the results of thin-scalp grafts in the treatment of deep burn injuries in children. Subjects and methods: Prospective study, intervention 57 times thin-skin grafts surgery on 38  pediatric burns patients to treat deep burns of 2% of body surface area (BSA) or more at the National Burns Hospital from 10/2021 to 07/2022. Patients were divided into two groups of scalp (study group) and other area skin (control group), and were compared in terms of the characteristics, manifestation and outcome. Results: The survival rate of thin-skin grafts in the study group was significantly better than that of the control group (p = 0.02), especially in the post-necrotic resection background. Compared with the control group, the study group had time heal of skin donation area significantly lower (p=0.000). Evaluation of the scalp donation area after 1 month and 3 months of surgery found that 100% of patients had normal hair growth, there was no case of focal dermatitis. Post burn pruritus was higher in the control group than in the study group, the difference was statistically significant (p = 0.000). In the control group, there were 5 children (17.86%) after 3 months of surgery, there were keloid scars, hypertrophic scars in part of the skin donation area; while, the study group had no cases, the difference was statistically significant (p = 0.03). Conclusion: The group that received thin-scalp grafts  had better survival ability. the scalp donation area healed faster and few complications that cause cosmetic loss and patient's quality of life.

Article Details

Keywords

scalp; thin-skin grafts, burns

References

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