tailieunhanh - Báo cáo y học: "A modified surgical technique in the management of eyelid burns: a case series"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A modified surgical technique in the management of eyelid burns: a case series. | Liu et al. Journal of Medical Case Reports 2011 5 373 http content 5 1 373 WV journalof medical l rCASE REPORTS CASE REPORT Open Access A modified surgical technique in the management of eyelid burns a case series Haiying Liu1 Kun Wang1 Qigang Wang1 Shudong Sun1 and Youxin Ji2 Abstract Introduction Contractures ectropion and scarring the most common sequelae of skin grafts after eyelid burn injuries can result in corneal exposure corneal ulceration and even blindness. Split-thickness or full-thickness skin grafts are commonly used for the treatment of acute eyelid burns. Plasma exudation and infection are common early complications of eyelid burns which decrease the success rate of grafts. Case presentation We present the cases of eight patients two Chinese women and six Chinese men. The first Chinese woman was 36 years old with 70 body surface area second or third degree flame burn injuries involving her eyelids on both sides. The other Chinese woman was 28 years old with sulfuric acid burns on her face and third degree burn on her eyelids. The six Chinese men were aged 21 31 38 42 44 and 55 years respectively. The 38-year-old patient was transferred from the ER with 80 body surface area second or third degree flame burn injuries and third degree burn injuries to his eyelids. The other five men were all patients with flame burn injuries with 7 to 10 body surface area third degree burns and eyelids involved. All patients were treated with a modified surgical procedure consisting of separation and loosening of the musculus orbicularis oculi between tarsal plate and septum orbital followed by grafting a large full-thickness skin graft in three days after burn injury. The use of our modified surgical procedure resulted in 100 successful eyelid grafting on first attempt and all our patients were in good condition at six-month follow-up. Conclusions This new surgical technique is highly successful in treating eyelid burn injuries especially .